1600 Atlantic Beach Dr new electrical permit r Jr
r f1 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
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: ERES17-0151
Description: NEW SERVICE - 300 AMPS, 240 VOLTS, SINGLE PHASE
Estimated Value: 0
Issue Date: 10/11/2017
Expiration Date: 4/9/2018
PROPERTY ADDRESS:
Address: 550 ATLANTIC BEACH DR
RE Number: 169505 1140
PROPERTY OWNER:
Name: TOUSEY CLAY B
Address: 2225 ALICIA LN
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LORE ELECTRICAL CONTRACTORS
Address: 210 N ROSCOE BLVD 210 N. ROSCOE BLVD
PONTE VEDRA BEACH, FL 32082
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.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 D
h,7, 247-5826 Fax 04) 247-5845 C PUS17--bt S
JOB ADDRESS: -5 ro (/leu 4fod, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2-i"6 VOLTS t PHASE
VALUE OF WORK$ 1 z9v
NEW SERVICE ❑ Overhead Underground ❑J Underground up Pole
[]Residential(Main)Service f
00-100 amps El101-150amps ❑151-200amps El7&f--Oamps #of Meters
❑Commercial(Main)Service
00-100 amps [110 1-15 Oamps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 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 11200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 El Smoke Detectors_Qty - Transformers KVA -Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑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 provisionslaws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of
construction.
Property Owners Name �S // Phone Number
Electrical Company �/1��a✓C�`iZ/G'� �ffice Phone 2?3-/1K-3 Fax -3 7_3_�d'l,K
Co.Address: S'GdC U City State ZipdL
License Holder(Print): State Certification/Registration#
Notar :� Viler "l
TONT NDLESPERGER
MY COMMISSION#FF 924951 , ( da O 20
EXPIRES:October 6,2019 fore me this y
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Banded Thru Notary Public Underwrter•
gnature of Notary Public