603 SELVA LAKES CIR - ELECTRIC REPAIR y> )��`
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i,:' '� CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
/ ATLANTIC BEACH, FL 32233
to,3>> INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0313
Description: 200 Amp 240 volt Single Phase
Estimated Value: 850
Issue Date: 9/24/2018
Expiration Date: 3/23/2019
PROPERTY ADDRESS:
Address: 603 SELVA LAKES CIR
RE Number: 172027 5544
PROPERTY OWNER:
Name: WATTS ANN C
Address: 603 SELVA LAKES CIR
ATLANTIC BEACH, FL 32233-4378
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: E3 ELECTRIC OF NE FL INC
Address: 5605 FLORIDA MINING BOULEVARD
JACKSONVILLE, FL 32257
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 92E5 l8-_ 63 13
c Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: 106 3 SZ\V P... LA+,zC,S (.‘t PERMIT #.AC:C.: I `CC3CO
JEA INFORMATION REQUIRED ON ALL PERMITS c) OC) AMPS g40 VOLTS I PHASE
VALUE OF WORK$ $S o
NEW SERVICE ❑ Overhead ❑ Underground J Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (p 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: a-
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Cl 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 C,K0, % C p1',kst< JhiA r) Phone Number 1 S7 D-70 1308-3
Electrical Company FS 61cG A'C. cc NE FL Inc. Office Phone %Li KO"c333Fax iL$-b33.E
Co.Address: S (64% AWN 01 411 J S'.. S, City„la c1CscrA',1 lea State IL Zip 3a S-7
License Holder(Print): ---Mb.t l2\ C l'f-S St e Certification/Registration#Gt \3v\30 SSI
Notarized Signature of License Holder ` i • . cie/L1 L--
' •. .fie S�Vii and subscribed before me this Z of , ` �r�i✓ 20
r fi''t MY COMMISSION I GG 255331
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