369 ROYAL PALMS DR - ELECTRIC rifLui:ri6
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e 'liNk-N.7., 4 CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
-15 V - X ATLANTIC BEACH, FL 32233
.. INSPECTION PHONE LINE 247-5814
.1'2.01119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1944
Job Type: ELECTRIC ONLY
Description: upgrade service to 150 amps 2 circuits
Estimated Value:
Issue Date: 8/17/2015
Expiration Date: 2/13/2016
PROPERTY ADDRESS:
Address: 369 ROYAL PALMS DR
RE Number: 171492-0000
PROPERTY OWNER:
Name: BATTS JR, HENRY
Address: 369 ROYAL PALMS DR
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
New Single Family Electrical $60.00
Lighting Outlets, Including Fixtures $1.20
Trade Permit Base Fee $55.00
Total Payments: $120.20
PERNIIT IS APPROVED ONLY IN ACCORDANCE WITh Arr. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: '6 bik-I 47 /11-1'h frW PERMIT#
1:4L1 ARKS Z I) Sin, 6 p4.+St
NEW SERVICE 0 Overhead 1 I Underground Dl Underground up Pole
Residential(Main)Service
0-100 amps I 0 I-150amps 151-200amps amps #of Meters
:.Commercial(Main)Service
.. 0-100 amps 101-150amps 151-200amps __ amps . CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole ___,amps
SERVICE UPGRADE r i5-0 amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps Cl Service_ amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 O0amps 101-200amps
Appliances: 0-30amps ,.` __3 I-1 OOarnps 101-200amps
A/C Circuits: - —0-60amps 61-100amps
Heat Circuits: I # circuits ; kw
Number of Lighting Outlets, Including Fixtures: ___
OTHER ELECTRICAL PROJECTS
'Swimming Pool Sign Smoke Detectors Qty "Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: ..
Permit becomes becomes void if work does not commence within u six rnonth period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to he true and correct. All provisions of taus and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to c tolatc the pro'.isions of art■ other state or local law regulation construction or the performance of
construction. �� , _
Property Owners Name Phone Number .
Electrical Company rkA r 1 { - 2( t —C-- Office Phone_ /7-yTh' Fax 2‘17-9 Y 7
Co.Address: 90 0 e ALE GtjFi jj City .1!'Tl 13-k State Ft Zip,'Y?1 co
License Holder(Print): �l -el t ( cckr State Certification/Registration# no(2- .7
Notarized Signature of License Holder
Before me this day of 20
Signature of Notary Public
•
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
PHONE (904) 247-5855
Cashier Id: aspcust\atlblae
Receipt Date: 8/ 17/20152:51:21 PM
Receipt a
t 0S-67477
Job ID: 15-ELEC-1944 - u
R0 ampsar 2 circuits EDBPR-ade service State ElectDBP 1
Surcharge $2.00
Job ID: 15-ELEC-1944
50 amps 2 circuits upgrade t service to 1
Surcharge $2.00
EDCA State Elec DCA
Job ID: 15-ELEC-1944
50 amps 2 circuits ELI New service e Famil
y Electrical $60.00
Job ID: 15-ELEC-1944 - u
50 amps 2 circuits P9rade service to 1
Including Fixtures EL8 Lighting Outlets
$1.20
Job ID: I5-ELEC-1944
50 amps 2 circuits upgrade T Trade service I
Fee $55.00 TP - Trade Permit Ease
Amount Due: $120.20
Tender Information: Cash $120.20
Tender Type: CC
Tender Amount: $120.20
Change Due: $0.00