16 Donner Rd meter jaw replaced 2015 =t' S CITY OF ATLANTIC BEACH
~ j 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-525
Job Type: ELECTRIC ONLY
Description: METER JAWS REPLACED
Estimated Value:
Issue Date: 3/9/2015
Expiration Date: 9/5/2015
PROPERTY ADDRESS:
Address: 16 DONNER RD
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
l Ph(904) 247-5826 Fax(904) 247-5845
.TOB ADDRESS: / � ficnry QAPERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /190 AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service s #of Unit Meters
[10-100 amps ❑101-150amps ❑151-200amps ❑ amp
❑Temporary Pole ❑ amps
SERVICE UPGRADE []____amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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
❑Swimming Pool ❑ Sign [I Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
[replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: 1��1>' II-AAkW
r work is suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not commence within a six month period o
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 �� l V'��ip Phone Number
L -Office Phone 1$'7- Lg Fax 2q?- gyq3
Electrical Company �C�V j l M r LL�r121-L �- Of ,f,
Co.Address: �U S ' '� City Tal, OCI State �/ Zip 722St
License Holder(Print): fk V e �w, ' State Certification/Registration# �V oot 2sy
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public