Permit Elec Chg Panel 775 Redfin 2012 \ice CITY OF ATLANTIC BEACr H
CH
800 SEMINOLE ROAD
'` 4- ,.it. „ ° �� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000427
Property Address Date 4/13/12
REDFIN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PANEL CHANGE
Owner Contractor
QUILLEN, GORDON T. KNIGHT ELECTRIC LLC
775 REDFIN DRIVE 910 11TH AVE S
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 247 -9884
Permit ELECTRICAL PERMIT
Additional desc . PANEL CHANGE
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date . . 10/10/12
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
7 h (9 4) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: S ed i N/
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS
AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE 1 1 Overhead 1 1 Underground
❑Residential (Main) Service g Underground up Pole
❑ - 100 amps ❑ 101- 150amps ❑ 151 -200am s ❑
❑Commercial (Main) Service p amps # of Meters
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ am s
Conductor Type Size p OCT Service amps
❑Multi- Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151 -200am s ❑
s p amps # of Unit Meters
❑Temporary Pole ❑ amp
SERVICE UPGRADE
❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service
amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0-3 Oamps 31 -100am s
Appliances: 0 -30am s p 101- 200amps
p
A/C Circuits: 0- 60as 61- 100amps 101- 200amps
rn
Heat Circuits: p 61- 100amps
# 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) F A X F_
Qty volts /amps VALUE O F WO RK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ®Panel Change ❑OH to UG
❑Other: I25/) he/( C' /14fn f C
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 �// '! l�/Vf dt� L PL L.,C- Office Phone 247 - ? I Fax Z�
9 8 �,� 7 983
Co. Address: l S City ,T fCA. State Ti Zip 32.2-0
License Holder (Print): SI lk f lur State Certification/Regi # FR ( -23
Votarized Signature of License Holder / W----
Sworn and subscribed before me this day of 20
Signature of Notary Public