2005 Beach Ave (2) CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J :5 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r !tit
Application Number . . . . . 14-00001477 Date 9/08/14
Property Address . . . . . . 2005 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
panel change
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Owner Contractor
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CORSE TRUST, HERBERT L KNIGHT ELECTRIC LLC
2005 BEACH AVE 908 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 . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/07/15
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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
JOB ADDRESS: �UU S- PI 6l a�� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ;2M AMPS 2W VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 151-200amps El-amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps 151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 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 ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 [ TransforinerS KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection 19!anel Change [j 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" L— Phone Number r,
Electrical Company PI r C Z- U- Office Phone 2`'i7 � Fax
Co.Address: �� �_ City T+- - State Yl Zip ?22 S7
License Holder(Print):
eiut OF—-- State Certification/Registration# W1314 ZSZ 3
Notarized Signature of License Holder
p®pgAHAMWAWHn Sworn and subscribed befo this day of 20
MY COMMISSION N EE 057349
EXPIRES:May 21,2015
SW"T"W"Public Under~ Signature of Notary Publ
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