1102 hibiscus st 2014 elec safety, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\, ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID:
14-ELEC-321
Job Type:
ELECTRIC ONLY
Description:
SAFETY INSPECTION
Estimated Value:
Issue Date:
10/27/2014
Expiration Date:
4/25/2015
PROPERTY ADDRESS:
Address:
1102 HIBISCUS ST
RE Number:
171012-0050
PROPERTY OWNER:
Name: SHALHOUB, ROBERT
Address: 1102 HIBISCUS ST
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $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.
1GLEU I KIC AL Jr ILKMI 1 ALrJr1ACAT1 N
CITY OF ATLANTic BEACH
800 Seminole Rd, Atlantic Beach, 171.72233
Ph (904) 247-5826 Fax (404) 247-5845
JOB ADDRESS: i i 0 D �—i 't "(S �, s.2 n, - PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS %C 0 AMPS 2-7D VOLTS PHASE
GAL UE OF WORK S
NEW SERVICE ❑ Overhead
❑ Underground
.iResidential (Main) Service
"_0-100 amps ' 101-150amps
151-200amps
=jCommercial (Main) Service
:".i 0-100 amps - 101-150amps
7:151-200amps
Conductor Typo _
Size
multi -Family (Main) Service
i O-100 amps 7101-150amps
-151-200amps
Temporary Pole' amps
D Underground up Pole
-amps
amps
amps
# of Meters
':" CT Service amps
# of Unit Meters
SERVICE UPGRADE amps CT Service
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.}
100 amps 150amps 200amps amps -.C1' 5e a amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUC- 4IRES, 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 (a _____ __kw
Number of Lighting Outlets, Including Futures:
OTHER ELECTRICAL PROJECTS
:,Swimming Pool Sign Smoke Detectors _Qty Transformers _ __ ___ KVA Motors p
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 `:OH to UG
Other:
Pcrmit becomes void if work does not commence within a six month period or work is suspendcd or ab .,ned for six months, l hereby ccrtify that l have
read this application and know the same to be true and correct. All provisions of laws and ordinances g ging 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 i regulation construction or the performance of
consttaction.
Property Owners Name
Number
Electrical Company )br <ej - �' \ C � f r _ Office Phone 2H7 -11 L _ Fax a�f � L�
Co. Address: 1 S City ZR State T�__ Zip Rc) _)S[1
License Holder (Print): OlgC U-1 :'
Notarized Signature of License Halder
Sworn and subscribed before me this
Signature of Notary Public
Certification/Registration 4 E \ 1
_ day of
20