325 4TH ST - ELECTRIC , 1 f CITY OF ATLANTIC BEACH
A 800 SEMINOLE ROAD
j .�. rX 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-1964
Job Type: ELECTRIC ONLY
Description: 2 circuts
Estimated Value:
Issue Date: 8/19/2015
Expiration Date: 2/15/2016
PROPERTY ADDRESS:
Address: 325 4TH ST
RE Number: 169833-0000
PROPERTY OWNER:
Name: KAPLAN TRUST, KRISTINA
Address: 745 NORTHBROOK RD 745 NORTHBROOK RD
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
Lighting Outlets, Including Fixtures $1.20
Trade Permit Base Fee $55.00
Total Payments: $60.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE. FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 3 S t---k S-\-- PERMIT#
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
OResidential(Main)Service
00-100 amps 101-I50amps 0.151-200amps i.. amps #of Meters
0Commercial(Main)Service i CT Service amps
00-100 amps 101-150amps x::151-200amps 0 amps P
Conductor Type Size
DMulti-Family(Main)Service
00-100 amps :1101-150amps EIS amps #of Unit Meters
.Temporary Pole 1:: amps
SERVICE UPGRADE amps i CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps C150amps 200amps amps .CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps . 31-100amps 101-200amps
Appliances: 0-30ainps 31-100amps 101-200amps
A/C Circuits:, 0-60amps 61-100amps
Heat Circuits: # circuits @ kw 2
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) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
;Replace Burnt/Damaged Meter Can [=Safety Inspection :=Panel Change [[iOH to UG
❑Other: ee is(Aft A rzc prAkj
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 I have
read this application and 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 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
KMt 1-t E1-tt11 ( L LL C- Office Phone ZV 7- ?W I Fax 2y7-'? '7
Electrical Company S Zip 2 2 S G
Co.Address:
?O$ it°- Ale. S -z' City 1'� Al‘l State Il. Zi 3
License Holder(Print): 5fi wi J State Certification/Registration#
Notarized Signature of License Holder I ,•
Before me this ! 7 day of l �=�V.% �`',
1 - . Notary Public �L -
, ,,, Notary Public State of Florida _
Shirley L Graham
i A, My Commission FF 086990
-7osAP Expires 02/14/2018