1600 SELVA MARINA DR - ELECTRIC TENT '"1'yrJf,
��4# CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�� �� ATLANTIC BEACH, FL 32233
''!01319' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0299
Description: Temp power for Tent Generators
Estimated Value: 100
Issue Date: 9/10/2018
Expiration Date: 3/9/2019
PROPERTY ADDRESS:
Address:
RE Number:
PROPERTY OWNER:
Name:
Address:
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: MILLER ELECTRIC COMPANY
Address: 2251 ROSSELLE ST QA JOSEPH AUGUSTUS ENGLISH
JACKSONVILLE, FL 32201
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
"-PATS- 6 d 03
// Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: .7U S/ z /��r;nc Dr. PERMIT#ez wg'62i
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ /00
NEW SERVICE El Overhead ❑ Underground J Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commereitd(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 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 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KV A 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
MOther: Jemp. pat)(r 7ci- fcn f - &e^cerltors
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 :Q-dpi;c J.e c L Ce„,ni, C`/ L Phone Number 90 y-3 71 .2_4 12.,
Electrical Company /V2A. ag,jr.'c. Office Phone 904419 4S-Voo Fax
Co.Address: i-1-S/ ,evs sc//e S City Je,lto„..;A State FL Zip lit oI
License Holder(Print): j/ �s �/ �) A State Cert. ation/Registration#f �1liY 3 II Z
Notarized Signature of License Holder ,l% 1*., E(
MELON K.CANNON
Notary public,State of FloridSworn and subscribed before me this w day of PA ,r 20 to
My Comm,Expires 06118I21 �� ✓
Commission No.GG115581Signature of Notary Public D