65 CORAL ST 2015 TEMP POLE CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
DI ,-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 15-ELEC-1114
Job Type: ELECTRIC ONLY
Description: TEMP POLE 40 AMPS
Estimated Value:
Issue Date: 5/12/2015
Expiration Date: 11/8/2015
PROPERTY ADDRESS:
Address: 65 CORAL ST
RE Number: 169594-0160
PROPERTY OWNER:
Name: EBENER, ROBERT V
Address: 65 CORAL 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
� Jl Ph (904)247-5826 Fax(904)?47-5845
JOB ADDRESS: ![� I fSr PERMIT#
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑3 Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200anips _amps #of Meters
Commercial(Main)Service
0-100 amps 101-I50amps I51-200anips amps CT Service amps
Conductor Type _ Size
"'Multi-Family(Main)Service
"':0-100 amps 101-150airips 151-200amps amps #of Unit Meters
0.0'T"emporary Pole It amps
SERVICE UPGRADE _,. amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS, REPAIRS,RUIL,D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/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
Swimming Pool Sign Smoke Detectors_Qt)- Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 seta of plans)
Qty volts/amps VALUE OF WORX S
RE PAIRSIMISC E LLAN E OU S
Replace Burnt/Damaged Meter Can Safety inspection Panel Change OH to UG
Other:
Permit becomes void if work docs not commcmc yr ithin u sir month period or work is suspended or abandoned Cor six months. 1 hereby certify that I have
read this application and know the:%awe to be true and correct. All provisions of laws and ordinances govcming this work:will becomplied with wbcftr
specified or not. The permit does not give authority to violate the provisions of ani other state or local law regulation construction or the performanet of
construction.
Property Owners Name Phone Number
Electrical Company c �sr � � �' Office Phone 2YI- 95q Fax
Co.Address: 7�� �� yyr City Vi ,: State Zip ���5v
License Holder(Print): I-/V1 4tat Certificate RegistraiitS �iI�i7Gl2�Z3
Notarized Signature of License Holder
Before me this day f 20
Signature of Notary Pub '
p-0�0-�
o Notary Public State of Florida
Shirley L Graham
oy Commission FF 086990''oExpires 02/14/2018