266 CAMELIA ST NEW ELEC SERVICE r \ , 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
]OB INFORMATION:
Job ID: 15-ELEC-1367
Job Type: ELECTRIC ONLY
Description: new service 150 amps underground up pole
Estimated Value:
Issue Date: 6/10/2015
Expiration Date: 12/7/2015
PROPERTY ADDRESS:
Address: 266 CAMELIA ST
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
Trade Permit Base Fee $55.00
New Single Family Electrical $60.00
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
JOB ADDRESS-, A 4 STrecc PERMIT#
1 0. — ..r.
.IEA INFORMATION REQUIRED ON ALL PERMITS AMPS IYO VOLTS l PRASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground [:1 Underground up Pole
(]Residential(Main) Service
F10-100 amps (1101-150amps -ff51-200amps ! amps # of Meters
i ICommercial(Main)Service
...0-100 amps _J 101-150amps 151-200amps amps ICT Service amps
Conductor Type Size
UMulti-Family(Main)Service
F10-100 amps I-I 101-150amps !_1151-200amps (1_ amps # of Unit Meters
I iTemporary Pole I I amps
SERVICE UPGRADE I amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
;J 100 amps F 150amps 11200amps amps 'XI,Service amps
ADDICTIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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
I ;Swimming Pool I I Sign PSmoke Detectors_Qty I (Transformers KVA IJM.otors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VAL(IE OF WORK S
REPAIRS/MISCELLANEOUS
7Replace Burnt/Damaged Meter Can I (Safety Inspection iPanel Change I IOH to UG
Other:
Permit becomes void it work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that 1 have
rrad this application and know the same to be true and correct.. All provisions of laws and ordinances goveming 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 ��► r EZ� z� LL'G' Office phone :241—Mll Fax
Co. Address: $ rlr` r vl City JMc &4 State 8 Zip
License Holder (Print): ve- ! � State Certification/Registration# 1-00012TZ1
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public