97 Levy Rd # 113 elec safety 2015 A)U%
N C, `S f CITY OF ATLANTIC BEACH
s) 800 SEMINOLE ROAD
J v ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-25
Job Type: ELECTRIC ONLY
Description: SAFETY INSPECTION
Estimated Value:
Issue Date: 1/9/2015
Expiration Date: 7/8/2015
PROPERTY ADDRESS:
Address: 97 LEVY RD 113
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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole lid,Atlantic Beach, FL 32233
L�''J r p JPh (904)247-5826 Fax(904)247-5845
JOB ADDRESS: I l 1 eW IIIA` LIT PERMIT# � 'C—
too
VALUE OF WORDY$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Reddentiat(Main)Service
00-100 amps I)101-150amps (_1151-200amps Clamps #of Meters
(2 Commercial(Main)Service
(,10-100 amps :.)101-150amps I"1151-200amps [� amps h!CT Service amps
Conductor Type Size
CMuld-Family(Maio)Service
u0-100 amps C]101-150amps C 151-200amps Li amps #of Unit Meters
11 Temporary Pole [:J amps
SERVICE UPGRADE f.:.lamps I'1 CT Service amps
NEW.FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
f 100 amps n 150amps 0200amps LJ amps i ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlem/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
C:1Swirnming Pool Fl Sign C.:;Smoke Detectors_Qty JTransformers KVA 4']Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
C1 Replace Burnt/Damaged Meter Can [Wafety Inspection [.: Panel Change E*:IOH to UC
[-)Other:
Permit becomes void if work does not commenoc within a six month period or wort:is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true acid correct. All provisions of laws and ordinances governing this work will be complied with whether
spocified 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. F
Property Owners Name a!U1'/}I` C-,Z2/7-e, Phone Number
Electrical Company 1/- E,7t7(Vl. ._. UG C- Office Phonep f _Fax
T"
Co.Address: In City " 1'� State,._Zip
License Holder(Print): CYC N' i r State Certiftcation/Registration
Notarized Signature of License HoNer Im
Before me this day of 20
Signature of Notary Public