725 Atlantic Blvd #9 15-ELEC-2256 elec for sign permit \�. /
- CITY OF ATLANTIC BEACH
.t, J 800 SEMINOLE ROAD
\L)1101 ` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\J;319f'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2256
Job Type: ELECTRIC ONLY
Description: elec for sign
Estimated Value:
Issue Date: 9/25/2015
Expiration Date: 3/23/2016
PROPERTY ADDRESS:
Address: 725 ATLANTIC BLVD UNIT 09
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: HERITAGE SIGNS
Address: P 0 BOX 236 QA CHARLES L KNIGHT, SR
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH Pip rh.,...
CAP 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 725-9 ATLANTIC BLVD ATLANTIC BCH, FL 32233 PERMIT# /5-'5/GN—?21O
JEA INFORMATION REQUIRED ON ALL PERMITS 3 AMPS 120 VOLTS SINGLE PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑► Underground up Pole
-Residential(Main)Service
0-100 amps 1 101-150amps I 151-200amps L: amps #of Meters
Commercial(Main)Service
0-100 amps 1 ; 101-150amps !I 151-200amps 1' amps Li CT Service amps
Conductor Type Size
(Multi-Family(Main) Service
10-100 amps L.101-150amps 1151-200amps `- amps #of Unit Meters
:Temporary Pole [! amps
SERVICE UPGRADE n _amps I-. CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
Ll 100 amps 150amps L 200amps i_ amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100 amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[-Swimming Pool XSign Smoke Detectors_Qty L 1Transformcrs KVA I 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 H Panel Change F-,OH to UG
Other: CONNECT NEW SIGN ELECTRICAL TO OLD SIGN ELECTRICAL CIRCUIT
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 ATLANTIC-PENMAN LLC Phone Number
Electrical Company HERITAGE SIGNS Office Phone 904-529-7446 Fax 904-529-1567
Co. Address: PO BOX 236 City GREEN COVE SPRINGS State FL Zip 32043
License Holder(Print): CHARLES L. KNIGHT State Certification/Registration # ES0000058
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20
Signature of Notary Public