110 Jackson Rd ERES18-0212CITY OF ATLANTIC BEACH
:.s 800 SEMINOLE ROAD
,• ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0212
Description: 100 Amp 240 Volt Temp Pole
Estimated value: 500
Issue Date: 6/27/2018
Expiration Date: 122412018
PROPERTY ADDRESS:
Adder: 110 JACKSON RD
RE Number: 172137 0000
PROPERTY OWNER:
Name: RILEY OLIVER ET AL
Address: 120 JACKSON RD
ATLANTIC BEACH, FL 32233-4322
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Service of Knights LLC
Address: 415 N 4th Avenue
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 BVAC work
exceeds and estimated value of $7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
)j Ph (99084) 247-5826 Fax (904) 247-5845
JOB ADDRESS: % IO NAel r lW PERMIT # 6eff P-67I2—
JEA INFORMATION REQUIRED ON ALL PERMITS RFU AMPS t 110 VOLTS PHASE
VALUE OF WORK $
NEW SERVICE $° Overhead ❑
❑Residential (Main) Service
00-100 amps 0101-150amps
❑Commercial (Main) Service
❑0-100 amps 0101-150amps
Conductor Type Size
❑Multi -Family (Main) Service
00-100 amps ❑101-150amps
Temporary Pole OLO amps
SERVICE UPGRADE C amps
Underground
❑ 151-200amps
❑ 151-200amps
D Underground up Pole
amps
amps
❑151-200amps ❑ amps
Ll CT Serviceamps
# of Meters
❑CT Service _ amps
# of Unit Meters
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
L 1100 amps ❑ 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
❑Swimming Pool ❑ Sign ❑ Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _ volts/amps
VALUE OF WORK $
REPAHtS/MISCELLANEOUS
EiReplace Bart/Damaged Meter Can ❑Safety inspection ❑Panel Change ❑OH to UG
Permn becomes vola n wore .......----- .._.._
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will consPhod with whmff
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 (1 �j,(tt'(�j j Phone Number � 7. 9379
Electrical Company `s, Office Phone J4 S 1�S Fax_
!'- City
i " f Statef-4 Zip 3?- Z
Co. Address: 3Z �/ � V " ty'
License Holder (Print):�u tate Cer[ification/Registration # /M07J`3Z 4
Notarized Signature aJ LFeense tio[der
-nY:"IVLv JENNIFER JOHNSTON Sworn at d�iibs m ed before me this a� day of �An'L 20A&
EXPIRES
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�;`+ FxRiars-. wnNerUzr. men Signature of Not Public
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