532 ATLANTIC BEACH CT ELECTRIC j iy\J`Jr
�4
It IS OF ATLANTIC BEACH
> Sv 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r�J,319
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
PERIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUI DING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd. Atlantic Beach, FL 32233
Ph (904)247-5826 Fax(904)247-5845
JOB ADDRESS: 5 a fj+ Lr�,C IF)cV\ Cj , PERMIT#
Lo+ as
VALUE OF WORK S
NEW SERVICE ❑ Overhead EeUnderground ❑) Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps _amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
100 amps 101-150amps 151-200amps amps #of Unit Meters
vTemporary Pole U _amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30ainps 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 KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIR /MISCELLANEOUS
Rc place Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: _
Permit beco' es void if work dols not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this aP ication 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 Oot. 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 Phone Number
Electrical ompany C-:1"4 4. -c C-�r iL Office Phone Fax
CC--
722
Co.Address: �!� J�_ City A4- (&k, State Zip 1�
i
License Holder(Print): sw-ve- kA,)t t State Certification/Registration# C��3UlZS2
Notarized Signature of License Holder
Before me this I day of 20�,�
Signature of Notary Public_
i
;;a• y ;, JENNIFER WALKER
*: *= MY COMMISSION#FF 011480
EXPIRES:Ap.124,2017
„q;t4• Bonded Thru Notary public Underwriters