532 ATLANTIC BEACH CT TEMP POLE t
�J `SS, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
� s)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1149
Job Type: ELECTRIC ONLY
Description: TEMP POLE 40 AMPS
Estimated Value:
Issue Date: 5/14/2015
Expiration Date: 11/10/2015
PROPERTY ADDRESS:
Address: 532 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC $EACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
Jon ADDRESS:- A+ GA4 L PERMIT#
Lo+ 8� -
VALUE Of WORK S
NEW SERVICE ❑ Overhead ff Underground O1 Underground up Pole
Resideatial(Main)Service
0-100 amps 101-150amps 151 200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amp5 _amps CT Service amps
Conductor Type Size
Multi-Family
(Mom)-Se-rvice
100 amps 101-150amps 151-200amps amps #of Unit Meters
v entporary P e 0 amps
SERVICE UPGRAD atnps CI"Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ;150amps 200amps __amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outicts/Switches: 0-30antps 31-100antps 101-200amps
Appliances: — 0-30amps 31-l 00amps 101-200amps
AIC Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
O'T'HER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_(qty "transformers KVA ' Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VArLUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
permit b-6vomes void if work docs not commence within a six month peritwi or%ori:is suspended or abrutdoned far six months. l herrby ctrtify that t have
read this application and know the same to to true atad carrot. All provisions of lams and ordinances governing this work will be complied with whether
specified or not. The permit docs not give Authority to%iniatc the provisions of am'other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company 1�,,•,[4.� -t-CY t( Office Phone Fax
Co.Address:
it City TA L A-k. State.FL Zip T22 rV
I.,icesse Holder(Print): ���V-e pjc
r State Certification/Registration
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public