195 15th St temp pole 2014 CITY OF ATLANTIC BEAC
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMA
Job - -
Job Type: ELECTRIC ONLY
Description: temp pole
Estimated Value:
Issue Date: 10/27/2014
Expiration Date: 4/25/2015
PROPERTY ADDRESS:
Address: 195 15TH ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole ltd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 /s
Jos ADDRESS: � �� ��
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 2y62 VOLTS ( PHASE
VAL UE OF WORK S
NEW SERVICE Q Overhead Underground QT Underground up Pole
1Residentiial(Main) Service
0-100 amps -101-150amps :'151-200amps amps #of Meters
:]Commercial (Main)Service
7 0-100 amps ""101-150amps 151-200amps - amps -CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 1�1�150amps 151-200amps - amps # of Unit Meters
ffemporary Pole -- h amps
SERVICE UPGRADE 7 amps .-_ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ` ?150amps 200amps ; —amps =:CT Service amps
AUDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30atmps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign 7]Smoke Detectors„ Qty Transformers KVA 'Motors hp
FIRE ALARM SYSTEM (Requires 3 sett =f plans VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection _Panel Change OH to UG
Other:
Permit becomes void if work does not commence within a six month period of work is suspended or abandoned for six months. 1 hereby certify that 1 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 !Lf��iOffice Phone Fax.
��'G � City 6�t State �� Zip 3 2 2 50
Co. Address: --
License Holder(Frim): jevr__ jK"), tj !— State Certification/Registration -
Notarized Signature of License Holder
Sworn and subscribed before me this day of 20 _
Signature of Notary .Public