745 Amberjack Ln elec safety permit r V
CITY OF ATLANTIC BEACH
1 _ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0147
Description: 200 amps/240 volts/single-phase -rewire & safety inspection
Estimated Value: 2400
Issue Date: 5/21/2018
Expiration Date: 11/17/2018
PROPERTY ADDRESS:
Address: 745 AMBERJACK LN
RE Number: 171197 0000
PROPERTY OWNER:
Name: CLAY REALTY INVESTORS INC
Address: 745 AMBERJACK LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DUVAL ELECTRIC LLC
Address: 2109 1 st Street South
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904) 247-5845 -S
JOB ADDRESS: 5 Ham! PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS o9AO AMPS a4O VOLTS / PHASE
VALUE OF WORK$ 2,6(P O
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps []—amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 1110 1-1 50amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps �_ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can Aafety Inspection []Panel Change Ll OH to UG
Other: 40-LU I fC—
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name <W * dC &t_ /Wes lors.I N CPhone Number 10Y- 611— X635
Electrical Company bvv AI E/ecjri c_ L L L Office Phone 4Dy-41/0-3Fax
Co.Address: 0'?/0 ty /.S i- Sf ,S City JQ x ��+d� State F!�!_Zip 2ZS-o
License Holder(Print): ARTV A GiN State Certification/Registration# EU30 /�92
Notarized Si nature jc older
;v��«•
JENNIFER JOHNSTON
MY COMMISSION#GG 042884 Sworn and subscribe efore me this day of )kQM 20
EXPIRES:October 27,2020
'•EORf,O?•P Bonded Thru Notary PubVc Underwriters Signature of Notary Public