311 17th St - permit ERES18-0194 CITY OF ATLANTIC BEACH
r)
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
,. J3 INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0194
Description: 200 AMPS 240 VOLTS 1 PHASE
Estimated Value: 400
Issue Date: 6/14/2018
Expiration Date: 12/11/2018
PROPERTY ADDRESS:
Address: 311 17TH ST
RE Number: 172020 0244
PROPERTY OWNER:
Name: RUDEN ANN V
Address: 311 17TH ST
ATLANTIC BEACH, FL 32233-5811
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CRAWFORD ELECTRIC
Address: 2301 Marsh Point Road
Neptune Beach, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
OB ADDRESS:
Ph(904)247-5826 Fax (904) 247-5845
3 , � ( ��
PERMIT##
VALUE OF WORK.$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps E1101-150amps 11151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ am
Conductor Type Size 0—amps [I CT Service amps
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 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:
)THER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can IJ Safety Inspection ❑Panel Change OOH to UG
Other:
_ Kll�_( hen "'W'M QZj ME ey 1'5h n el Sffl 1C_Q
unit 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
.d 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
;cified 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
istruction.
:)perty Owners Name 1 (`� -1 2
Phone Number V
:ctrical Company W W(lyfc, Office Phone 2-W—S I Fax 2LjjA03—]
Address: --f+. CityState Zip
e colder (Print): �d �� R �� 0 r tate Certification/Registration# L--G(?,Oo Z(o
tarized Signature of License Holder
JODI RICHMONDfore me this ( da f V Y\-V— 20 1
MY COMMISSION II FF 977570
f t x�IREs:M �►3�.2= gnature of Notary Public
'�,.» ,••�eoed.a ihro Molary P�1e
UDM