352 8th ST - TEMP POLE LAIrriel
,;> CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
s.PtO1319r.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2265
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMPORY POLE
Estimated Value:
Issue Date: 9/28/2015
Expiration Date: 3/26/2016
PROPERTY ADDRESS:
Address: 352 8th 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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELN:C:1 Kil.'AL rr,tctvllt t rsrrlitt.w 11131's
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ( S._ Et_ — Zz J
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: Cc2 , P> RMTT#
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground D. Underground up Pole
oReeldential(Main)Service
]0-100 amps l o l-150amps 15 I-200atnps amps #of Meters
OComtnercial(Main)Service
00-100 amps 0101-150amps .151-200amps amps 1-CT Service amps
Conductor Type Size
CMultt-Family(Main)Service
;0_100 amps c"1103-150amps ;. l51 200amps amps #of Unit Meters
Temporary Pole, I/0 amps
SERVICE UPGRADE amps CT Service -amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
l 100 amps I S0amps 200amps amps :.,CT Service amps •
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 l-100amps 101-200amps
Appliances: 0-30amps 31-100atnps 101-200amps
A/C Circuits:• 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
':'Swimming Pool IT Sign '.::Smoke Detectors Qty- :. Transformers KVA .Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
"3Replace Bu.rnt/Damaged Meter Can ::Safety Inspection 'Panel Change 1.`OH to UG
CJ Other:
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 he true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit dots not give authority to violate the provisions of any other state or local law regulation construction or the performance of
caasrttction.
Property Owners Name_ _ _Phone Number
Electrical Company 1 �S� � 'G LC.L Office Phone 2 _Fax 2�U�tl/
Co.Address: f�- ��
r City 7A-1- State Zip
License Holder(Print): - L a (n State Certification/Registration#
Notarized Signature of License Holder �I
Before me this day c
y of 20 iii rJ
Signature of Notary Public ttr
SHERRI L STEA
• Coy public State of Florida
on
mm.Expires M FI da
"•;, t, gon commission#t 2 31. 016
E
d Through Natrona!Notary Assq.
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