Permit Elec for hvac 850 Sailfish 2012 \ s CITY OF ATLANTIC BEACH
r 01 800 SEMINOLE ROAD
./,/
J � �, , , ATLANTIC BEACH, FL 32233
ti INSPECTION PHONE LINE 247 -5814
4 iJn1
Application Number 12- 00000903 Date 7/18/12
Property Address 850 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
ac circuits
Owner Contractor
GREEN, ELENA L KNIGHT ELECTRIC LLC
850 SAILFISH DR E 910 11TH AVE S
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 247 -9884
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 60.00 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 1/14/13
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 64.00 64.00 .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
JOB ADDRESS: ��1) c/4 / 5 k PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead n Underground FT Underground up Pole
(Residential (Main) Service
0 -100 amps ❑ 101- 150amps 1151- 200amps [ 1 amps # of Meters
l Commercial (Main) Service
[ 10 - 100 amps ❑ 101 150amps 1 151- 200amps I amps C_'CT Service amps
Conductor Type Size
[;Multi- Family (Main) Service
❑ 0 - 100 amps ❑I 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole CI amps
SERVICE UPGRADE [! amps I ! CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
P1 100 amps ❑ 150amps 1200amps Pi amps ICT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
g -C- 61-4441j. -
Outlets /Switches: 0- 30amps 31- 100amps 101- 200amps
Appliances: 0- 30amps 31- 100amps 101- 200amps 50 a'si?
A/C Circuits: / 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw W1'6'.
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
'Swimming Pool ❑ Sign ❑ Smoke Detectors Qty I 1 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 1 [Safety Inspection 11 Panel Change 11 0H 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 Y Phone Number
Electrical Company h /1 r k r tLE (-1 (. L L Office Phone Fax
'
Co. Address: U 1< S City j/4 ��� State �� Zip 2
License Holder (Print): Sreuc.- 16
-4 r State Certification/Registration # W( 3 °/ ?)-7)
Notarize '' ' , ' ' • n . #_ ' .,' c
" " ""* DEBORAH AMANDA WHITE
• MY COMMISSION MEE057346 + ■rn and subscribed before me i fiday of ', " / 20/.;--- ▪ �.. s EXPIRES: May 21, 2015 i
• �„` e�`�°Th " "aaryP °w�u"°e
• ature of Notary Public // • /r,467''