155 Levy Rd 2013 new elec CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002809 Date 6/05/13
Property Address . . . . . . 155 LEVY RD
Tenant nbr, name . . . . . . UNIT A
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
new service
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Owner Contractor
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CERQUEIRA, ATTILION & CATHERIN KNIGHT ELECTRIC LLC
25 W 6TH ST 910 11TH AVE S
ATLANTIC BEACH FL 32233 JACKSONVILLE BEACH FL 32250
(904) 247-9884
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee 125 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/02/13
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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 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: [ P'� Rom PAV7 F q PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �G AMPS U VOLTS �3 ' PHASE
VALUE OF WORK$
i
NEW SERVICE 0 Overhead ❑ Underground ❑T Underground up Pole
CResidential(Main) Service
�
0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
_:Commercial(Main) Service
u0-100 amps ❑101-150amps 51-200amps ❑ amps OCT Service amps
Conductor Type Size
GMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
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 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
C 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 /(�- q X ST- Phone Number
'
Electrical Company �f'lork CZ)CCtK(C_ L(-C-- Office Phone Fax
Co.Address. (�� � >°�"` City _TN kA , State Zip 'Z
License Holder(Print): �r LAnrk F_ State Certification/Registration# LWTON-W
Motarized Signature of License Holder 221
Before me this day of 20
Signature of Notary Public