110 Jackson Rd ERES18-0320 new service permitCITY OF ATLANTIC BEACH
f> 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:
ERES18-0320
Description:
200 Amp 240 volt Single Phase
Estimated Value:
2500
Issue Date:
10/2/2018
Expiration Date:
3/31/2019
PROPERTY ADDRESS:
Address: 110 JACKSON RD
RE Number: 172137 0000
PROPERTY OWNER:
Name: RILEY OLIVER ET AL
Address: 120 JACKSON RD
ATLANTIC BEACH, FL 32233-4322
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: Service of Knights LLC
Address: 415 N 4th Avenue
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) 247-826 Fax (904) 247-5845
JOB ADDRESS:
(?£518 —0141
�RMIT # 612kSIS-03ZO
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS 7-1(4t) VOLTS / PHASE
NEW SERVICE ❑ Overhead
ORcsidenllal (Main) Service
:�0-100arrps _101-150amps
7Com nervial (Main) Service
❑0-100 amps ❑ 101-150smps
Conductor Type
OMulti-Family (Main) Service
❑0-100 amps 0101-150amps
❑Temporary Pok _amps
SERVICE UPGRADE
—_amps
VALUE OF WORKS 2JO0, OZ)
Underground Q! Underground up Pole
IT151-200amps
❑ 151-200amps
—_amps
amps
0151-200amps =_amps
_. CT Service _ amps
# of Meters
OCT Service _ amps
# of Unit Meters
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
:7100 amps ❑ 150amps .200amps [Iamps OCT Service _ amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switch": 0-30amps 31-I00amps _101-200amps
Appliances: 0-30amps 31-100 ps 101-101
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
,]Swimming Pool C Sign ❑ Smoke Detectors _Qty ❑TransformersKVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _ volts/amps
VALUE OF WOR%J
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection C Panel Change OOH to UG
rermn oecomes vend it work does not commence within a six month period or work is suspended or abandoned for six months. 1 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. late the provisions ofany other state or local law regulation construction or the performariu of
coruvumion. (rAT(-13rz c! 8i-.�![{ctj
(26-3(PG r
Property Owners Name Phone Number
Electrical Company.�urC£ Oi�+a)l`1r Ti�'4-'C- CC( Office Phone 33 -g37q Fax
Co. Address: 32 ( A, A.K. lf city 7A)c .80 State Fi- Zip3,zZS J
License Holder (Print): /AN�^'rSS Certification/Registration #jffQv) /"53Z�a
Notarized Signature ojLerase Holder
r'•I uvcoO IONOFF rots worn and subscribed before this day of Sof 20�
E%PIPEa'Ag112, 1019 gnature of No Public�,rl—
%R:,h, BeMXPIR MYVYPWtIFtlrMb 1 Notary
Date Paid: Friday, February 01, 2019
Paid By: Service of Knights LLC
Cashier: CB
Pay Method: CREDIT CARD 418228
Printed: Friday, February 01, 2019 3:22 PM 1 of 1 TZ
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