388 11TH ST - ELECTRIC .. 1.,JAJ\J.,,
,/, ..,„,..
J
., Ai.._ \�1
CITY OF ATLANTIC BEACH
-, J 800 SEMINOLE ROAD
' " ATLANTIC BEACH, FL 32233
\• INSPECTION PHONE LINE 247-5814
,r/:J1�lJ1'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2548
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 14 FIXTURES
Estimated Value:
Issue Date: 10/28/2015
Expiration Date: 4/25/2016
PROPERTY ADDRESS:
Address: 388 11TH ST
RE Number: 170092-0000
PROPERTY OWNER:
Name: VAN VOORHIS JR. EDWARD JAMES
Address: 388 11TH ST
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
Lighting Outlets, Including Fixtures $8.40
Total Payments: $67.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
•
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 is _ si_ -ZS 4 Q
?p Ph(904)247-5826 Fax (904) 247-5845 C�
JOB ADDRESS: J 0 ? �l K. S�'Cc f PERMIT# A 2/1;Z
JEA INFORMATION REQUIRED ON ALL PERMITS /5Z) AMPS V() VOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service
t10-100 amps n101-150amps [1151-200amps 0 amps [::1CT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps C1101-150amps C1151-200arnps 0 amps # of Unit Meters
0 Temporary Pole 0_ amps
SERVICE UPGRADE 0 amps li CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps Li amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps .__31-100amps 101-200amps
AJC Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: .__EI _
OTHER ELECTRICAL PROJECTS
[.1 Swimming Pool Cl Sign 1:1 Smoke Detectors_Qty 0Transformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ • VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change DOH to UG
OOther:
limb. ma■aain
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 1.have
'cad 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
ipeciftcd 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
Sonstruction.
?roperty Owners Name Phone Number
3lectrical Company 'ist1a( r 847C ON__ I L _ Office Phone 71/7- 9I I Fax_2``7 /51/._?,
-o.Address: _ q0Y /f''` //!2" say-. City KA State Fl. Zip 3ZZ 0
AAcense Holder (Print): tit M TAr' State Certification/Registration# tifi30(75-Z7
ff
lder
,�Q�g�.. SHERR 1.STEPP •
0 ,Stirs' Notary Public-State of Florida Before me this l'_ e. day of _ Cl 20 /S
My Comm.Expires May 31.2016 t -
-= r - �e Banded Neagh Commission ti EE 203994 signature of Notary Public• • r,
77 s�•
�'^'°�''«��' Bonded ThrouQA National Notary Assn.