1386 ROSE ST - PERMIT ERES18-0200 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
A a INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0200
Description: Service Upgrade 200 Amps/240 Volts
Estimated Value: 1500
Issue Date: 6/15/2018
Expiration Date: 12/12/2018
PROPERTY ADDRESS:
Address: 1386 ROSE ST
RE Number: 171063 0300
PROPERTY OWNER:
Name: MADDOX JANICE KAYLENE
Address: 1386 ROSE ST
ATLANTIC BEACH, FL 32233-2647
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
L)B ADDRESS: -jZZ�J� PERMIT#f ��I �
0S� SLP_ '
JEA INFORMATION REQUIRED ON ALL PERMITS 0C) AMPS 2-440 VOLTS PHASE
VALUE OF WORK$ ( -eTao
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
-Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
110-100 amps 101-150amps _:151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps -101-150amps ❑151-200amps ❑ amps #of Unit Meters
.I Temporary Pole ❑ amps
SERVICE UPGRADE A; 'L amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps C 150amps 200amps __ 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
11 Swimming Pool ❑ Sign ❑I Smoke Detectors_Qty I iTransformers KVA IMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
.]Replace Burnt/Damaged Meter Can ❑Safety Inspection -Panel Change L_OH to UG
Other:
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 i key r 2� �Madaox Phone Numb _S�`6a'" J `O
Electrical Company Cru le'ay 1 uo C Office Phone 2q� 5 91(_Fax Z41-903-1
Co. Address:E� `�l(1 h �_- Cityly Q �Q_ 5r State Zip
T iense Holder (Print): �KN C� ; 7 State Certification/Registration
(�Io' tarized S5 nature of License Holder
_ r
•'' '•ie'' JODI RICHMOND
Swo and subscribed before me this day of ��' 20�
MY COMMISSION ti FF 977570
EXPIRES:March 31.2020
nw
ea,de<tThru Notary Public Undeiters Signature of NPublic
Notary