381 SEMINOLE RD - ELECTRIC 140- , CITY OF ATLANTIC BEACH
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J�., .,.L ;� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ELEC-2128
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - 50 AMP CIRCUIT
Estimated Value:
Issue Date: 9/10/2015
Expiration Date: 3/8/2016
PROPERTY ADDRESS:
Address: 381 SEMINOLE RD
RE Number: 170433-0000
PROPERTY OWNER:
Name: BURGOS. DANIEL R
Address: 381 SEMINOLE 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
Trade Permit Base Fee $55.00
Switch Outlets $2.00
Total Payments: $61.00
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
`� Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: •��� <n't f nd(e_- 1laAd, PERMIT#
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VALUE OF WORK S
NEW SERVICE ❑ Overhead EJ Underground 1 (1 Underground Up Pole
OResidential(Main)Service
DO-100 amps IO1-150amps • 151-200amps ,amps #of Meters
El Commercial(Main)Service
UO-100 amps 101 150amps 151-204amps amps 7 C Service -amps
-
Conductor Type, Size
CtMalti-Family(Main)Service
X10-100 amps ;'101-150amps 151-200amps amps #of Unit Meters
LiTemporary Pole,L, amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
;1I00 amps r::150amps •:.200amps . amps .:ACT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches; 0-30amps 31-100amps 101- 00amps
Appliances: 0-30amps 31-I00amps 101- 00amps
A/C Circuits:. . 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTRER ELECTRICAL PROJECTS
1Swimming Pool I Sign _',Smoke Detectors Qty Transformers I4VA `.Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
Ill Replace Burnt/Damaged Meter Can :=Safety Inspection ':;Panel Change '..!OH to UG
LIOther: lb Prm F' " ' ` e_ Ct
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- Al ' of Phone Number
Electrical Company KOA
i t f i! e „__ Office Phone '`/ -' Fax
i Co. Address:
g ("� Alt' �o City ( i State rr Zip 77-ilt
License Holder(Print): 57-6/r— tck1 State Certif ratio ' -gistration#, F'l 31J12 Z;
Notarized Signature of License Holder ,
Before me this. 7 day of /6) ' .- - 20 I /
Signature of Notary Public , '11, iG
'%•tea,, SHERRi L,SFEPP
>°• =, Notary Pubilc-State of Florloa
-' °,: c My Comm.Expires May 31,2016
�'1.y.?,-'±4" Commission#EE 203994
"Illl.1's Bonded Through National Notary Assn.
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