65 Shell St 2015 temp pole CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
J y' 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-1024
Job Type: ELECTRIC ONLY
Description: temp pole
Estimated Value:
Issue Date: 5/4/2015
Expiration Date: 10/31/2015
PROPERTY ADDRESS:
Address: 65 SHELL ST
RE Number: 169581-0000
PROPERTY OWNER:
Name: SAMC REO 2013 01 LLC
Address: 800 W MONROE ST 800 W MONROE ST
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: (� ` - jree-�" PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS G' AMPS 2�0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground []l Underground up Pole
.jResidential(Main) Service
u 0-100 amps :101-150amps r151-200amps 1 amps # of Meters
Commercial(Main) Service i.ICT Service ams
, 10-100 amps I i 101-150amps 151-200amps amps p
Conductor Type Size
iMulti-Family(Main)Service
100 amps '1101-150amps -1151-200arnps f; amps #of Unit Meters
"Temporary Pole 1 6d amps
SERVICE UPGRADE I I amps l._i CT Service amps
NEW FEEDER(AUDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps i 150amps 1 12OOamps 1 I amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
QutleWSwitches: 0-30amps 11-100amps —
_ 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
1 I Swimming,Pool I Sign I..,Smoke Detectors_Qty I Transformers KV'A Fl Motors _lip
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can ;Safety Inspection I (Panel Change lUH to 1)G
11 Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that( have
read this application mid 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 docs(lot give authority to violate the provisions of any other state or local law regulation construction or the prrfomumce of
construction.
Property Owners Name Phone Number
Electrical Company +J1 r Office Phone Fax
Co.Address:
Ilk l City ak State_ „Zip22�4
License Holder(Print)- AA r State Certification/Registration# 01U1 S2- 2�—
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public