55 FORRESTAL CIR - ELECTRIC (---
.- 1-J.-\.,`!:/../„
� CITY OF ATLANTIC BEACH
•. R ,• r 800 SEMINOLE ROAD
KV , ATLANTIC BEACH, FL 32233
A•01-119',YINSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0251
Description: 200 Amp 240 Volt Single Phase
Estimated Value: 9000
Issue Date: 8/7/2018
Expiration Date: 2/3/2019
PROPERTY ADDRESS:
Address: 55 FORRESTAL CIR
RE Number: 171737 0000
PROPERTY OWNER:
Name: TRI PROP II LLC
Address: 2323 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Wondrous Works Electrical Contracting
Address: 5042 Attleboro St
Jacksonville, FL 32205
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
_ Ph (904)247-5826 Fax(904)247-5845 Ti/ -S 1 5 J 6Z 51
JOB ADDRESS: -5-5'
J /(',`re�7 t C ,l' PERMIT#/ c 1%g,f7 i-
JEA INFORMATION REQUIRED ON ALL PERMITS ?c2" AMPS ZYa VOLTS _vc_t:e31,eL PHASE
VALUE OF WORK$ 9 .e90,a-d
NEW SERVICE Overhead ❑ Underground El Underground up Pole
I kesidential(Main)Service ��
00-100 amps ❑101-150amps t 1151-200amps ❑ amps #of Meters
[Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps . ❑151-200amps ❑ amps #of Unit Meters
[Temporary Pole 0 amps
SERVICE UPGRADE ?(74e a amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: S a 0-30amps 31-100amps 101-200amps
Appliances: 2 0-30amps 31-100amps 101-200amps
A/C Circuits: ` 0-60amps 61-100amps
Heat Circuits: 'L # circuits @ 5 kw
Number of Lighting Outlets, Including Fixtures: 2$ _
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$,i,e1);®d
REPAIRS/MISCELLANEOUS
[Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
[Other:
iiimimiimlimmimmimimmiimilmumiimi
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 //',le-"7 fi erppe= 7`. ' ''lis' ''lisPhone Number .9. /- X p7.3- -, 6 g"
Electrical Company yle,/Yays /ir, s F/mac7'r', / Office Phone 53 -9ILgFax
Co. Address:,fid y,2., /4971711 -1z"-APC) 57 City --)Q Ck3002A'Vle State�L Zip;.?„1240S"
`— ! //e
License Holder(Print): r/'G,7/5� /!+ GG/ r r,r State 'fication/Registration#OW OIS n6
(,
Notarized Signature of License Holder
7 h •I
�' TONIGINDLESPERGER 'Worn and subscribed before me this ( day of �� , . _/ I
+.� ;__ MY COMMISSION FF 924951 \ �
.'a' EXPIRES:October 6,2019 ignature of Notary Public - /
-1:,574.0Bonded Thru Notary Public Underwriters /