388 11TH ST TEMP POLE rA1r
f--------.„
� , CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
;N
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
308 INFORMATION:
Job ID: 15-ELEC-2102
Job Type: ELECTRIC ONLY
Description: TEMP POLE 40 AMPS
Estimated Value:
Issue Date: 9/3/2015
Expiration Date: 3/1/2016
PROPERTY ADDRESS:
Address: 388 11TH ST
RE Number: 170092-0000
PROPERTY OWNER:
Name: VAN VOORHIS JR, EDWARD JAMES
Address: 388 11TH ST
4 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
p g 800 Seminole Rd,Atlantic Beach, FL 32233
3 0 Ph(904)247-5826 l~ax (904) 247-5845
JOB ADDRESS: : #8 I e Sr- c-- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS (lb AMPS .lf) VOLTS ! PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
UResidential(Main)Service
: 0-100 amps 7101-150amps I ;151-200amps I amps # of Meters
C Commercial(Main)Service
:70-100 amps ❑101-150amps _:1S 1-200amps 0 _amps nCT Service amps
Conductor Type Size
:3 Multi-Family(Main)Service
;0-100 amps Li 101-150amps I 1 151-200amps amps #of Unit Meters
l emporary Pole 71_ yr) amps
SERVICE UPGRADE I.1 amps n Cl'Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I !100 amps i 150amps 11200amps L amps L!CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-100amps 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 E Sign I I Smoke Detectors Qty -]Transformers KVA .7 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 3 Panel Change LOH to UG
I !Other: -
rill.
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 50 �nnNes Vi-A/ VCV d E„S Phone Number
Electrical Company _ e r ri -�� LI_G Office Phone o - Fax
Co. Address: 408- �Ir< /4W-- 'rn City 1A e _State Zip
License Holder(Print): _51-6,-,, r"�, 1-f State Certification/Registration# EiEnc/iSZ)
Notarized Signature of License Holder.__-:--i:--------
SHENRI L.STEPP fore me this ' day of 21 5
` c.., Notary Public-State of Florida r�
• My Comm.Expires May 31.201a�ignature of Notary Public �� ' G
14'1S....,,ei Commission#EE 203994 I
$81;; god Through National Notary Assn.