275 Sailfish ERES18-0225 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: ERES18-0225
Description: Safety Inspection
Estimated Value: 100
Issue Date: 7/12/2018
Expiration Date: 1/8/2019
PROPERTY ADDRESS:
Address: 201 275 SAILFISH DR
RE Number: 170579 0000
PROPERTY OW NER:
Name: PETERSON TERRY LEE TRUST
Address: 1500 SELVA MARINA BLVD
ATLANTIC BEACH, FL 32233-0805
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
21S 800 Seminole Rd,Atlantic Beach,FL 32233
CJI n /\�,, Ph I(-904)247-5826 nFaxx(904)2247--5.8455 �-F Z `/3
OB ADDRESS: �Y:T l i I {SV I D I A U ✓2!c1.7 PERMIT N�C+SI S
JEA INFORMATION REQUIRED ON ALL PERMITS 20Q_AMPS a 4 o VOLTS _ I PHASE
VALUEOFWORK$ •00
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-I50amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-I50amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps D101-150amps 1:1151-200himps ❑ amps of Unit Meters
❑Temporary Pole []____amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps Dounpis [ICT 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
El Swimming Pool Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can *afety Inspection ❑Panel Change ❑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 he tme and correcl. 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 _ 'r� <� Phone Number
Electrical Company�p61 �, Ir1G Office Phone P!A� Faxd-Z*-jW
Co.Address: City 1 ��State Zipr3�
License Holder(Print): 1 State Certification/Registration# ZhfD0Ugq
tori,od.viornature of alder rl i1C
JENNIFER JOHNSTONa r `'- avcoaalssloNacc oaaea Swom an subscribed before me this � day of -7L(( 2
46
t IBES:OcmEar 31.2020
.e;,: + sora.a TNU NObry wuhlmmrriam Signature of Not Public G�.