725 ATLANTIC BLVD #9 - ELECTRIC ,- __ , CITY OF ATLANTIC BEACH
A s 800 SEMINOLE ROAD
j ,. .". 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-2035
Job Type: ELECTRIC ONLY
Description: ELETRIC - 19 OUTLETS & 6 APPLIANCES
Estimated Value:
Issue Date: 8/27/2015
Expiration Date: 2/23/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD IRRG ` # ci
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNUTH ELECTRIC
Address: P O BOX 11699 MICHAEL L KNUTH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax ( 04) 247-5845 -
JOB ADDRESS: -1 �, 44 l &fc "B )v c) r a ' Q
r1 �C.irl 1 � d 1 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMIT ZOO AMPS VOLTS 3 PHASE
VALUE OF WORK S
NEW SERVICE I Overhead I I Underground 7 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
0-100 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 1 S0amps .200amps amps CT 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: 11-1
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign .Smoke Detectors Qty Transformers KVA Motors hp
EIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can - Safety Inspection Panel Change OH to UG
Other:
=
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 Phone Number
Electrical Company (j, e n(A-1), \-cL"(�1 j r` Office PhoneCt01--1`l3'1 Tr'axe-tD1-t.:t't1j--fi`3
Co. Address: -,o, y )(q City Xe S4r t/a/lte'State f L Zip zz.3c7
License Bolder (Print): M 1 k A e.
—�� Sta e Certification/Registration # E�Q,L3�jt2Z. -�
.Votarized Signature of License Holder(
s"• APRIL LYNN CREGG Sworn and subscribed before me this Z-O day of 20
so i.;'f COMMISSION#EE097149
' . :••. EXPIRES May 25.2015 -i Signature of Notary Public �2
(41:17). -3ti+:.•'_% FlaitlsNof��Service.cc.^+