55 S Saratoga 2015 elec j►.:Lyl.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-8
Job Type: ELECTRIC ONLY
Description: SWITCHES RECEPT
Estimated Value:
Issue Date: 1/6/2015
Expiration Date: 7/5/2015
PROPERTY ADDRESS:
Address: 55 S SARATOGA CIR
RE Number: 171783-0000
PROPERTY OWNER:
Name: TUCKER, MARLENE J
Address: 55 S SARATOGA CIR
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
Switch Outlets $33.00
Trade Permit Base Fee $55.00
Total Payments: $92.00
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: S�� S,�/' � Ci 2/(L PERMIT
VALUE OF WORK 5
NEW SERVICE El Overhead Underground E) Underground up Pole
�]Resideatial(Main)Service
0 0-100 amps (-1101-150amps ["1 I51-200amps [',)-----amps #of Meters
C7Commercital(Main)Service
G10-100 amps 1:.1101-150amps 13 15 1-200amps 1.1 amps QCT Service amps
Conductor Type Size
DMulti-Fandly(Main)Service
110-100 amps 9101-150amps L 151-200amps C7 amps #of Unit Meters
lTemporary Pole
SERVICE UPGRADE ;I_ amps f. Cl'Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) "\
1:7100 amps I.J 150amps (.:]200amps [:_ amps rCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps . 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps b�
A/C Circuits: 0-60amps 61.100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
F1Swimming Pool G1 Sign [Smoke Detectors_QtyJTransfor[tters (CVA (-]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty, volts/amps VAL UE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can :)Safety Inspection 1-]Panel Change f.]OH to UG
1r(Other: c- e t7 r � �25 J, St n
Permit becomes void if work does not eommcnoc within a six month period or work is suspended or abeuidoned for six months. I hereby certify that 1 have
read this application ind 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 T � -C.-.. ct.,c— —Office Phone Fax
44CCo.Address: _..... rl}` � 5� . c City kk State Zap ??Z0license Holder(Print): � rout State C.ertification/Registration# tP13W ZVZ3
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public