2139 SEMINOLE RD - ERES18-0166 `C,lk `� '`�'' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
r ice".,
�r l INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0166
Description: 200 amps/240 volts/single-phase-circuits for grinder pump
Estimated Value: 1200
Issue Date: 5/24/2018
Expiration Date: 11/20/2018
PROPERTY ADDRESS:
Address: 2139 SEMINOLE RD
RE Number: 169515 0500
PROPERTY OWNER:
Name: Camille Adams
Address: 2139 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5921
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Wired Right Electric, Inc.
Address: 8787 Southside BLVD#4510
JACKSONVILLE, FL 32256
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
0Ph(904) 2247-5826 Fax(904)) 247-5845 ';LS �� — 0 1 (0,,
JOB ADDRESS: g ,�� %�I® l P d. AW PeGl PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �5a 1 lei
AMP 7jl( VOLTS PHASE
VALUE OF WORK Z
OU
NEW SERVI ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residenti (Main) Service
❑0-100 amp [1101-1 amps ❑151-200amps ❑ amps # of Meters
❑Commercial( n) Se 'ce
00-100 amps 1-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family( ain) Se 'ce
❑0-100 amps ❑101-15 ps ❑151-200amps ❑ amps #of Unit Meters
❑Tempora ole ❑ amp
SERVICE UP RADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 11200amps ❑ amps OCT Service amps
ADDITIONS,REMODEL,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER EL CTRI L PROJECTS
IS wim in no o'
❑ Sign ❑Smoke Detectors_Qty El Transformers KVA ❑Motors hp
FIRE ALA S TEM (Requires 3 sets of plans)
Qty vo amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter C�a9n,/ /�❑Safety Inspection ❑Panel Change 0 O to UG /f n,.��
(Other: !�60 �011tG�-1-e (�/�C(/� Air �iW ✓elf e �;� &,r11rkr
yt' -
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. �Am
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Property Owners Name / Phone N rmbe
Electrical Company ��red �lq�� �F�(.r/r�C p �C . Office Phon 4
Co.Address: 97'97 SoJAS i J-e- 13 IV o/ 1 City �C�)4 State 1�4 zip5C
License Holder(Print): \tyu N t State Certification/Registration
Nota ri e l der
JENNIFER JOHNS? n h
orn and subscribed before me this a day of 1 Vt(��f 20
MY COMMISSION i ST 042984
*' EXPIRES:October 2T,2020
Notary Publ'�c Uncle
or Bonded[htu ignature of Notary Public
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