132 BELVEDERE ELEC NEW SERVICE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Sob ID: 15-ELEC-1258
Sob Type: ELECTRIC ONLY
Description: new service 101-150 amps
Estimated Value:
issue Date: 5/29/2015
Expiration Date: 11/25/2015
PROPERTY ADDRESS:
Address: 132 BELVEDERE ST
RE Number: 170588-0000
PROPERTY OWNER:
Name: Atlantic Beach Pinnacle Properties, LLC
Address: 132 BELVEDERE ST
GENERAL CONTRACTOR INF RMATIKNIGHOELECTRIC LLC
Name:
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
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 U
.SOB ADDRESS: 13.2 , 6�✓ �t-Gcr PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS 19 AMPS QY0 VOLTS ` PHASE
VALUE OF WORK S
NEW SERVICE Overhead r] Underground Underground up Pole
Residential(Main) Service
[JO-100 amps 1401-150amps :1151-200amps I amps #of Meters
Commercial(Main)Service
[10-100 amps I.i 101-150amps 1151-200amps a amps NCT Service amps
Conductor Type Size
Multi-Family(Main)Service #of Unit Meters
110-100 amps n 101-150amps 1151-200amps 1^T amps
Temporary.Pole I -amps
SERVICE UPGRADE Flamps L CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC:.)
❑100 amps i '150amps 11200amps amps _ICT 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
AIC Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ lcvv
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool LJ Sign LJ Smoke Detectors_Qty ITransformers 1CVA (l Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK�
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can :3 Safety Inspection [J Panel Change IOl I to UG
Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that 1 have
read this application and know the game to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
spec:iried 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 J
k1" ak- �21'c. 1,L L Office Phone 2jn_g$$y Fax ?117- l yqT
Co.Address:
t (�n6c - ' City jft tfah State Zip TZ2ra
License Holder(Print): ems- ^ r e ertification/Registration# j3�(ZSZ7
Notarized Signature of License Holder
Before me this day
Signature of Notary Pu