1445 seminole rd - permit eres18-0169 CITY OF ATLANTIC BEACH
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: ERES18-0169
Description: INTERIOR REMODEL ELECTRICAL
Estimated Value: 1150
Issue Date: 6/5/2018
Expiration Date: 12/2/2018
PROPERTY ADDRESS:
Address: 1445 SEMINOLE RD
RE Number: 171901 0000
PROPERTY OWNER:
Name: KELLY J STACY
Address: 1445 SEMINOLE RD
ATLANTIC BEACH, FL 32233-5501
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: JAX ELECTRICAL CONTRACTING INC
Address: 1839 LANE AVE SUITE 110 PAUL KEANE
JACKSONVILLE, FL 32210
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 IIVAC 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
�^ 1
K{J.Ph(904) 247-5826 �Fax(('904) 247-5845 t(ZGS�g —(`J � ��
JOB ADDRESS: 1 `1 �1 'SP SYIs S,O e— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS -MCMPS ` VOLTS _PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead 0�uadergrou ad ❑I Underground up Pole
/kesidential(Main)Service
-100amps 101-150amps �, 1-200amps amps #of Meters
5� `Commercial(Main)Service
-'0-100 amps w101.150amps " 151-200amps —amps _CT Service amps
Conductor Type Size
Muni-Family(Mala)Service
:0-100 amps 7101-150amps 151-200amps - _amps #of Unit Meters_
'Temporary Pole amps
SERVICE UPGRADE __amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps _150amps _200amps _amps _CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILDOUTS,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
Heal 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 i,voltstamps VALUE OF WORK
REPAIRS/MISCELLANEOUS
'Replace Bumt/tDamaged(Metter Can Safety Inspection Pawn Chanrgrc .OH to UG f�
AOther: �e.4+n�n `t.--,-}cGwn RrnnSIC>— k:r A'E' A 160-ktsnrrvwlsly ��
permit becomes vad if wmk docs rot cornrocnec within a six month period or work is noprnded or abnxioned for six months. 1 hereby certify Out t lore
read this application and know the sante to be me and corneal. All pmvisiom of lswY and ordnuncm governing this work will be conplied with whether
speci6N or rot. The pemoi docs ool give authority to violate the provisions of any other state or local law regulation mtearunion or the performance or
mmtrvaion. ( t� �n
Property Owners Name 'r-le � I I V 3'F9[`e11 `1\ Phone Number g0 I C 0�.
Electrical Company. _trn. ° y Office Phone " y18�8%5 Fa%904 374Cf47
Co. Addrcm: toil Cann P.l e5 J City S x State PC Zip $c)d (C
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License Holder(Print): -n d r.-I ect..e Stale CertificatiodRegislration# &r—l$ , j ,A i
Notarized.Signature of License Holder
f'�)�'•- MaWa ROOM Sworn and subscribed before me this t7 3�'. day of 20
�= COMMIZON OFF230743
fxPIRM Mry N, 2018 Signature of Notary Public (��� .
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