255 PINE ST NEW ELEC SERVICE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2502
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 10/21/2015
Expiration Date: 4/18/2016
PROPERTY ADDRESS:
Address: 255 PINE 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
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PEPMUT APPLICATION
CITY OF ATLANTIC REACH
800 Seminole Rd, Atlantic Beach, FL 32233
r� Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: o[5_� PERMIT# 5—
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS a() 'VOLTS f PHASE
VALUE OF W012,Cs;'$
NEW SERVICE ❑ Overhead ❑ Underground UJ Underground up Pale
OResidential(Main)Service
[.:)0-100 amps 0101-150arnps K1 1-200amps Q' amps #of Meters
L�Commercial(Main)Service
['JO-100 amps 0101-150amps 0.1151-200amps U___—amps DCTService amps
Conductor Type Size
LDMulti-)Family(Main)Service
110-100 amps 01101-150amps L:I 151-200amps F] amps #of Unit Meters
i.:jTemporary Pole n amps
SERVICE UPGRADE 0 __amps 13 CT Service �amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
('1100 amps 0150amps E1200amps I._l amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY S'T'RUCTURES, ETC.
Outlets/Switches: _ 0-30amps _ 31-100airips _101-200amps
Appliances: 0-30amps 31-100arnps 101-200amps
A/C Circuits: �0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJEC'T'S
❑Swimming Pool ✓ ) Sign USmoke Detectars_Qty f"ITransformers KVA Cl Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty___volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can F1 Safety Inspection CJPanel Change 13OH to UG
L:i Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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.
1'raperty Owners Name + ' &ll� Phone Number
Electrical Company pL6- Office Phone p / gay Fax
Co.Address: O f 1 �` _ City 7/'' fl bi, State Zip -727-5-6
License Holder(Print): kew State Certification/Registration#
Notarized Signature of License Holder
re me this 2 / day f T
Y
Notary Public State of FloridaShirley L Graham
My Commission FF 086990 Si ature of Notary Publi
Expires 02/14/2018