286 POINSETTIA ST - ELEC REMODEL :1$ 1 \ rJJ,`+�
s. CITY OF ATLANTIC BEACH
�. s 800 SEMINOLE ROAD
15 vATLANTIC BEACH, FL 32233
"!� 9%' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0244
Description: Adding Outlets
Estimated Value: 1800
Issue Date: 7/26/2018
Expiration Date: 1/22/2019
PROPERTY ADDRESS:
Address: 286 POINSETTIA ST
RE Number: 170568 0010
PROPERTY OWNER:
Name: John R. Shaw
Address: 13028 Biggin Church Road South
Jacksonville, FL 32224
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
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 HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 /�
JOB ADDRESS: Z (e 8 0:3‘4...s a."V r( PERMIT � 2 5f ol,
lir - O1 7(
JEA INFORMATION REQUIRED ON ALL PERMITS 1 So AMPS Z1C VOLTS I PHASE
0
VALUE OF WORK$ L 80o �
NEW SERVICE ❑ Overhead Underground nT Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps _:151-200amps ❑ amps #of Meters
❑Commercial (Main)Service
1110-100 amps ❑101-150amps ❑151-200amps LI amps ECT Service amps
Conductor Type Size
[Multi-Family(Main)Service
00-100 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 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: & 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 1 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: t C_
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$
REPAIRS/MISCELLANEOUS
[ReplaceReBurnt/Damaged Meter Can ❑Safety 1Inspection [Panel Change ❑OH to UG
Bother: IG—►-SGL-4 a.r �c rink l:.•....
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 Phone Number
Electrical Company cocwt E<< c-tcn.i c#.I Office Phone`to' -t'iZ- f Zo l Fax
Co. Address: LS2-t4.•-vs-i•-var 5 'FaoA- City FC-aL %AM--'• State 'rt- Zip 32)034-
pp
License Holder (Print): F� . • `C-l.-..v. . r State Certifi e n/Registration#
Notarized Signature of License Holder O� —�
TONI GINDLESPERGER Swo ubscribed before .. this �' • 'of v. 20( e',;: MY COMMISSION#FF 924951:r EXPIRES:October U 2019 I . P' 4-
,,
yt„ta° .nded Thru Notary Public Underwriters Signature of Notary Public