97 Levy Rd # 119 safety Inspection CITY OF ATLANTIC BEACH
s} 800 SEMINOLE ROAD
j i V ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
>t
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-416
Job Type: ELECTRIC ONLY
Description: SAFETY INSPECTION.
Estimated Value:
Issue Date: 12/12/2014
Expiration Date: 6/10/2015
PROPERTY ADDRESS:
Address: 97 LEVY RD 119
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION p ok o
CITY OF ATLANTIC BEACH o v t-- U" 3 —I
�e\J'1� 800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 02
7
JOB ADDRESS. C PERMIT#
V LUE OF WOR!$ !
NEW SERVICE ❑ Overhead ❑ Unde ren ergroun
*]Residential(Main)Service
i10-100 amps 0101-150amps 0:1151-200amps El amps #of Meters ^
L]Commercial(Main)Service rl
L.J0-100 amps I"1101-150amps EI 51-200amps t7. amps bCT Servicc amps
Conductor Type_ Size 40
:-)Multi-Family(Main)Service 1.
CIO-100 amps (1101-150amps L.?151-200amps ri amp! #of Unit Motors
LITemporary Pole C] amps
SERVICE UPGRADE .'] amps I7l CT Service amps v
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C.'!100 amps i 1150amps I.1200amps Ll amps CACI Service_ _amps �A
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURE TC.
Outlets/Switches: 0.30amps . 31-100amps 1 ?Oamps
Appliances: 0-30amps 31-100amps T _ 1. )0amps
A/C Circuits: 0-60amps _61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
[Swimming Pool =:1 Sign 0Smoke Detectors_Qty IL"ITransformers KVA [.:Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plana) VALUE OF WORIfC$
Qty volts/amps
REPAIRS/MISCELLANEOUS
f_Meplaee Burm/Damaged Meter Can X3afety inspection UPanel Change LION 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 1 have
nd
road 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. rhe permit docs 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
* t- l
Electrical Company 6�! l�����`"rf � Office Phone �� �' Fax a-4
Co.Address: �'-�IC� `� 1 la � i�� City State�dip a �
License Holder(Print):
- State Certification/Registration# fjq (� �ir�
Notarized Signature of License Holder
Before me this _day of 20
Signature of Notary Public