875 SAilfish ERES18-0282 ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233 €Sl8'
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 0,7_-_2 L",13 A r P . PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS /SCZAMPS aLly VOLTS PHASE
VALUE OF WORK$ ' o a
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps [1101-150amps 11151-200amps ❑ amps ❑CTService amps
Conductor Type Size
OMuld-Family(Main)Service
❑0-100 amps D101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ Cr 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: CD 0-30amps 31-100amps 101-200amps
Appliances: _ 0-30amps 31-100amps 101-200amps
A/C Circuits: 6 0-60amps 61-100amps
Heat Circuits: r) # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool [I Sign ❑Smoke Detectors_Qty ❑Transformers KVA OMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Bumt/Damaged Meter Can ❑Safety Inspection jTPanel Change OOH to UG
❑Other:
permit becomes void if work does not commence within a six month period or work is suspended m abandoned for six months. I hereby certify that I have
read this application and know the same to be trae 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 tical law,regulation construction or the performance of
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Property Owners Name Cc Ci'(-CII Lope z— Phone Number a4W _c73_ y'(O�j�¢Pi�a
Electrical Company 7G -fl'i(, Lk(-
Office Phonc Rayer ax y
Co.Address: �1( n(A Vin,H Pd��o 1 V - City �rl._�l state Zip 3 2�
License Holder(Print): teCertifi tic egis tion# n i30�30J'5q-.7(0
Notarized Signature of License Holder 5
and subscribed before me Z f 20�
iOMMISSION# 80Ea
MY COMMISSIQY s FF 91895
'�` A•- E%PIaES'Ocmbsl6,2011 floe of Notary Public
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° 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: ERES18-0262
Description: Panel Change Out 150 Amp 240 Volt Single Phase
Estimated Value: 3200
Issue Date: 8/27/2018
Expiration Date: 2/23/2019
PROPERTY ADDRESS:
Address: 875 SAILFISH DR
RE Number. 171248 0000
PROPERTY OWNER:
Name: Stacy Lopez
Address: 875 SAILFISH DR
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Jax Electric, LLC
Address: 568 San Pablo
Jacksonville, FL 32225
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 pennits 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.