65 SHELL ST - ELECTRIC S y�J�
�' I CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1991
Job Type: ELECTRIC ONLY
Description: new service 200 amps
Estimated Value:
Issue Date: 8/24/2015
Expiration Date: 2/20/2016
PROPERTY ADDRESS:
Address: 65 SHELL ST
RE Number: 169581-0000
PROPERTY OWNER:
Name: SAMC REO 2013 01 LLC
Address: 800 W MONROE ST 800 W MONROE ST
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
il State Elec DBPR Surcharge $2.00
I State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES. j
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
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Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: STtee( PERMIT# /57-��S"
4 / .
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground 01 Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps '51-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-I50arnps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-I50amps 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 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:
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
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 he true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit dots 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 1Nisktr t( e 2:(_ LL L Office Phone oti7-4in'i Fax 2Y7-Pit/3
Co.Address: 99 11 frt /clif cOati^ City 1)1- a(\. State 1/ Zip 7?2 Ca
License Holder(Print): - K�I j PI r State Certification/Registration# 02/3G/2C23
Notarized Signature of License Holder <�'U f
I e this Z7 d' of ' ; 4 ..
eRY pty Notary Public State off t b a
Ana ,re of Notary Public a) _
Shirley t Graham
My Comw F 088990
cr�'P Expires 02/1mias4/20n 1 18
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