155 Levy Rd 2013 new service CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002434 Date 4/05/13
Property Address . . . . . . 155 LEVY RD
Tenant nbr, name . . . . . . UNIT D
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
NEW SERVICE COMMERICAL
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Owner Contractor
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CERQUEIRA ATILLION & CATHERINE KNIGHT ELECTRIC LLC
36 W 6TH ST 910 11TH AVE S
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 322SO
(904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . NEW 200 AMP 3 PHASE
Permit Fee . . . . 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 10/02/13
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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 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITV 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: lev� AA PERMIT#
r
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ?O� VOLTS PHASE
VALUE OF WORK S
NEW SERVICE El Overhead Underground ED Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps - 151-200amps —amps # of Meters
vCommercial(Main) Service
0-100 amps 101-150amps �11 51-200amps amps CT Service_amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps —amps of Unit Meters
Temporary Pole i --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 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool --� Sign Smoke Detectors ty 1 Transformers KVA Motors hp
-Q
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bumt/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 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 C'- - qye-s-r K,0&n r Phone Number
Electrical Company_ kn�,(Af tLttmc- LL C- Office Phone 247- 7-KII —Fax ?V74W
Co.Address: 56t)P, city li-�- &�- State fl. zip 7215-e
License Holder(Print): .5�fv-c- -- State Certification/Registration# U/7012523
Notariz Signature of Licens r
De"MANwAWNTE
- 1 s 349 B ore me this day of --20 //3
My COMMISSM#EE 057
EXPIRES:May 21,zu'O
Nt`s 8"M Thru wwy Pubk Undwwm nature of Notary Pub ic
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fLECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845
57- 0 lew Ate PERMIT#
JOB DRESS:. 15 j r
JEA INFORMATION REQUIRED ON ALL PERMITS ?tV AMPS VOLTS 3 PHASE
VAL UE OF WORK S
NEW SERVICE El Overhead Underground Underground up Pole
i—i Residential(Main)Service
-0-100amps i 1101-150amps I i!151-200amps amps #of Meters
wConiniercial.(Main)Service
_JO-100 arnps F-1101-150amps F151-200amps Pr 240 amps CT Service amps
Conductor Type-- Size
Multi-Family(Main)Service
: 0-100amps L101-150amps 151-200amps Lj amps #of Unit Meters
Temporary Pole i amps
SERVICE UPGRADE I I amps 1 : CT Service amps
NEW FEEDER(ADDITION%ACCESSORY STRUCTURES,ETC.)
i ;100amps 1 :150amps 11200amps i. —amps CT Service amps
ADDITIONS,REMODELS PAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switchi 0-30amps 3 1 A 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:14t_
OTHER ELECTRICAL PROJECTS
,,-SwimmingPool riSign "Smoke Detectors Transformers KVA I !Motors
_Qty _hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
i :Replace Burnt/Damaged Meter Can Safety Inspection I Panel Change i iOH to UG
�Other:
Permit bccomcs 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 or laws and ordinances governing this wor�will W wmplied with whether
,specified or not. The permit does not give authority to vialate the provisions of any other stae or local law regulation construction or the performance of
construction-
Property Owners Name KO, 'r,CS Phone Number
Electrical Company Office Phone 2q7- MY Fax 410
_2Y7
Co.Address: City liL_ Statef_Z zin 72Z57
License Holder(print); State Certification/Registration# rjPj?b12j2_7
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public