375 Atlantic #1 ERES18-0318 CITY OF ATLANTIC BEACH
n 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: ERES18-0318
Description:
Estimated Value: 1000
Issue Date: 9/28/2018
Expiration Date: 3/27/2019
PROPERTY ADDRESS:
Address: 375 ATLANTIC BLVD SUITE 1
RE Number. 169735 0100
PROPERTY OWNER:
Name: PETWAY REAL ESTATE LLC
Address: 8230 NATIONS WAY
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: FIRST CHOICE ELECTRIC INC
Address: 716 N VALLEY FORGE RD CIA LAWRENCE DAVID THOMAS
NEPTUNE BEACH, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
/n� Ph(904)247-5826 Fax(90)4)247-/5845 in.�-
JOB ADDRESS: 37 K� ..�y�,, 1t/n g 1 W �I PERMIT#40N� L43/fl
JEA INFORMATION REQUIRED ON ALL PERMITS I6-4AMPS Z4 O VOLTS 1 PHASE
VALUE OF WORK$ 1000 • oa
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 7101-150amps ❑151-200amps 7 amps #of Meters
❑Commercial(Main)Service
70-100 amps ❑101-150amps ❑151-200amps ❑ amps CT Service amps
Conductor Type Sim
f(Multi-Family(Main)Service
0-100 amps i..-i 101-150amps ❑151-200amps ❑ amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps 0150amps ❑200amps El-amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _!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 Cl Sign I!Smoke Detectors_Qty ("Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Bumt/Damaged Meter Can ❑Safety Inspection Cl Panel Change DOB to UG
❑Other: S oc
permit becomes void if 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 some to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The pemtit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. ft++
Property Owners Name ntr N Phone Number "II
Electrical Company 'Ft ILC= rt, i c S i , r Office Phone .VEL Fax
Co. Address: -71t<, ✓ �( t 1ti. A >J City 11t j�StatetZip
License Holder(Print): Lowy KG .1�tiaµ�i State Certification/Registration#
Notarized Signature ofLicense Holder 1
Sworn and subscribed before me this Z8 ay f S�Pkk6r 201fL
Signature of Notary Publt