1330 Ocean Boulevard ERES19-0308 YS'=''''r ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
, �p
.Jb , •
1f' „ CITY OF ATLANTIC BEACH IssuEDERES19-036088
/2019
- ' 800 SEMINOLE ROAD
'�.4Jg1,:P ATLANTIC BEACH. FL 32233 EXPIRES:4/13/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY-4 PM-FOR NEXT DAY INSPECTION: °
ALL WORK MUST CONFORM TO THE CURRENT EDITION (2017) OF THE FLORIDA BUILDING
CODE,NEC, IPMC, AND CITY OF ATLANTIC BEACH CODEOF ORDINANCES'. - °
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: I PERMIT TYPE: I DESCRIPTION; VALUE OF WORK
ELECTRIC REMODEL w/ $1000.00
1330 OCEAN BLVD ELECTRICAL RESIDENTIAL f
PANEL CHANGE
• TYPE OF =° ' REAL ESTATE ° ° BUILDING USE°:
**ALL INFORMATION '
s .� Electrical Permit Application '
a'# HIGHLIGHTED IN
;3 574',,-4,,,,'-.„,,:,,r)h, .'! City of Atlantic Beach Building Department _ ,,GRAY IS;REQUIRED
''1,1K `' 800 Seminole Rd, Atlantic Beach, FL 32233
'f JO Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS:r ( 50 (i 'ad '1-1.53:-
- ,'3 1 PROJECT VALUE s[7.10760::°9-777.7
JEA INFORMATION REQUIRED ON ALL PERMITS: 001AMPS l2 0 VOLTS F171' PHASE •
❑ NEW SERVICE: 0 Overhead ❑Underground ['Underground up Pole
DResidential (Main)Service:
00-100 amps E1101-150amps 0151-200amps 0 amps #of Meters
OCommercial (Main)Service:
00-100 amps 0101-15Oamps E1151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Unit Meters
ri TEMPORARY POLE: amps
LI SERVICE UPGRADE: 0 amps OCT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps D2OOamps 0 amps OCT Service amps
`n ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-1O0amps 101-200amps
Appliances: „5' 0-30amps 31-1O0amps 101-200amps
A/C Circuits: 0-6Oamps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign ly1Smoke Detectors," (P (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection Panel Change 1:10H to UG
[Other: Updated 10/17/18
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 rovisions of any other state or local law regulation construction or the performance of
construction. __ _
Owner Name:r�rl-�f/G�dic-&-ercr, C�C�PC 1� : ,'-`�Phone Number:rlU,! '� J� �? v—
Electrical Company:ItAla "L>IX11-Mt ati t :office Phone: 01- `55/j. -i Fax f 2 7 6-a/
Co.Address: :,
'�C�� �1f�6��1` �'f � City: I V�� Vtstate �Zip ��L�i�L�,'
� �/���� �
License Holder:�.J.611, : P` 4 .': ' „ i State Certification/Registration#: 500 t 1, N�. .i
Notarized Signature of License Holder l ` ��.', -; 1
oR.iartr�o+ ledg d before me this l day of v ` f ' r 20 j7, in the State of Florida,County of�(,1���-
•:i�1Y:"••, JIU.IAN WALKER
1.
` .,, ��- MY COMMISSION#GS 006111 Signature of Notary Publi ^'
w """ iO4. EXPIRES:June 27,2020
%:Fo+R:� Bonded Thru Nota Public Underwriters
.,,,,,,, Notary [ ] Personally Known OR [ ] roduced Identification
Type of Identification: