Permit 16 Donner Rd 2012 elec safety CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000228 Date 2/29/12
Property Address . . . . . . 16 DONNER RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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KNIGHT ELECTRIC LLC
910 11TH AVE S
JAX BEACH FL 32250
(904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/27/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOBADDRESS: _t(_-�, PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS 2Z,�� AMPSO��,IVOLTS PHASE
7_rx�Tl
VAL UE OF WORK$
NEW SERVICE El Overhead Underground ED Underground up Pole
OResidential (Main) Service
00-100 amps 0 101-150amps 0 151-200amps E1_arnps 4 of Meters
OCommercial(Main) Service
EO-100 amps E1101-150amps 0 151-200amps O_amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps El 10 1-150amps 0 151-200amps 0 amps 4 of Unit Meters
0 Temporary Pole O_amps
SERVICE UPGRADE 0_________,amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100anips 0150amps 0200amps El ___,amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Fes
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps 'rep
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can *afety Inspection OPanel Change OOH to UG
00ther:
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 SC/5 —96—S> 'r)
Electrical Company + --c C Office Phone ';)-1-1 -(I?�&H Fax D q-1- Li
Co. Address: I IL Y*�- IS City_,_Sc1cK-,�U I J I e OvtState-VL Zip 3d,350
Ucense Holder (Pyint): r_'1\cir1L-\ State Certificatioii/Recyistration 4 k-'�
Notarized Signature of License Holder
Sworn and subscribed before is day, 20/Z-
Signature of Notary Public