1841 ATLANTIC BEACH DR ERES18-0232 new elec permit /yLY\
rJgi CITY OF ATLANTIC BEACH
r -,, .c.)" ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
o;3iv INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0232
Description: NEW SERVICE -200 AMPS, 240 VOLTS, SINGLE PHASE
Estimated Value: 3800
Issue Date: 7/16/2018
Expiration Date: 1/12/2019
PROPERTY ADDRESS:
Address: 1841 ATLANTIC BEACH DR
RE Number: 169505 1535
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS LLC
Address: 414 OLD HARTS RD STE 502
FLEMING ISLAND, FL 32003
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name:
Address:
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 �_ 2
Ph(904)247-5826 Fax (904) 247-5845 E R E`er ( 8 - CZ-SC
JOB ADDRESS: j ?/1 r I 4///4"iu1IC466ticA 11. PERMIT# Res 0?-003g
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2.4/O VOLTS t" PHASE
VALUE OF WORK$ 390D- "`'
NEW SERVICE ❑ Overhead [ frt nderground FIT Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps a amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps LU f 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps 0 amps OCT 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 i Sign 0 Smoke Detectors Qty 0 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can 0 Safety 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 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 7 �r/ &(J ems Phone Number
Electrical Company 7)94'1 )1 a f LL JtL ) Office Phone 9� 6- 73 Fax 94�-296- /f 8'jl
Co.Address: 32/f .6.,ea 2AfV �T city(JZC Sion Vi 1k' State Z Zip32254/
License Holder (Print): La/2R f' I `Q State 'fication/Registration# ECa/79Y
No r e Signature of License Holder ek'-4 , i 5
: Sworn d subscribed before me this 6 t= day of JQ 11 2019
o= Nota,/ir �ilM.-
?• ,��: _t•;o 1t;t0tdlc$hlorida(,
AO: tnm.,-_ds1aerstat6" a Signature of Notary Public
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