Permit Elec Safety 1089 Atl. #8 2011 .' - .S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
-4. 401119 1 '
Application Number 11- 00001803 Date 3/17/11
Property Address 1089 ATLANTIC BLVD UNIT 08
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
safety inspection
Owner Contractor
KNIGHT ELECTRIC LLC
910 11TH AVE S
JAX BEACH FL 32250
(904) 247 -9884
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 9/13/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
q 44 ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: \ 6 8ck 0- \ oq --E-\ � ( ?) PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead (1 Underground ❑T Underground up Pole
:Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
0 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.) F ,
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑CT Service amps +
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. t:; '? "''? 7
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 & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can fety 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 1 1+V+ l C c7tr 1C__ Office Phone 'DLO - 1 -1 Fax D-Li 1 —q X
Co. Address: q'1 In 1 k rk p,S City er State -- Zip 3Das
License Holder Print : V'1 a
( ) li 5- l -- A '1"1 , State Certification/Registration #TR I A,o la 5 a 3
Notarized Signature of License Holder
_= s' � N ' rai iQM i bs• ibed befor- - : thi I ., of . a 4 k 20 `2
* G , += MY , MM! SIGN OD 957760
g 4 EXP ES: Feb a 14
r � n, r. ao„dea Pt,O + 1, ry Publi : Q
o ' 1 to