115 DONNER RD UNIT A - ELECTRICAL r-S L`J
' - S, CITY OF ATLANTIC BEACH
., l
800 SEMINOLE ROAD
;�ld ': y s)
j1p
;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\JF31�r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2605
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW SERVICE 150 AMPS. 240 VOLTS
UNDERGROUND
Estimated Value:
Issue Date: 11/4/2015
Expiration Date: 5/2/2016
PROPERTY ADDRESS: Nits M
Address: 115 DONNER RD
RE Number: 172150-0000
PROPERTY OWNER:
Name: THOMAS, ELSIE LYNN
Address: 1964 FRANCIS AVE
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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
T----- ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ! S ELLEa _Z605
Ph (904) 247-5826 lax (904) 247-5845
JOB ADDRESS: ��� vi / VI PERMIT# /512/5-1/
4
''11 �_
rr
JEA INFORMATION REQUIRED ON ALL PERMITS ( � AMPS ;(`7 VOLTS / PHASE
VALUE OF WORM$
NEW SERVICE ❑ Overhead ❑ Underground [fT Underground up Pole
OResidential(Main)Service
00-100 amps 0 101-150amps Iret 5.1-200amps U. __amps #of Meters
t.1 Commercial(Main)Service
00-100 amps 0 101-150amps U151-200amps 0 _amps OCT Service amps
Conductor Type Size- _
❑Multi-Family(Main)Service
DO-100 amps 11101-150atnps 0151-200amps U amps #of Unit Meters
DTemporary Pole (•1 amps
SERVICE UPGRADE ❑ _ amps 0 CT Service —amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
0100 amps 0 150amps O200amps D 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 101-200 amp s
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ . kw
Number of Lighting Outlets, Including Fixtures:
)THER ELECTRICAL PROJECTS
°Swin ming Pool 11 Sign ❑Smoke Detectors Qty FlTransformers KVA ❑Motors—�hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK$ .
EPAIRS/MISCELLANEOUS
nRepiace Burnt/Damaged Meter Can 0 Safety Inspection UPanel Change DOH to LTG
f 1 Other:
w■,
mtit 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
d 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
•cifred 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
Istruction,
)perty Owners Name_ /�-�+`r`i l'' L.. d eft SGr Phone Number
:ctrical Company Cvisil F EZ C7ri c- LI- G Office Phone 247-9/0 Fax
. Address: kIL rI r A 'f City All State Ft _,Zip 7 5-4
ease holder(Print): Ve. .vi ;kr , tate Certification/Registration# 643612c23 E!t I. .,:.,., , 'er /
irlpi Notary Public-State of Florida , /� / c',f
-My Comm.Expires May 31,201:' -fore me this .3 _day of /(i V(./ 20 ,..)
%,;»,„--1 .01 Commission#EE 203994
'''ra.` r Bonded Through National Notary Assn. ignature of Notary Public_ L 49...- [ c &/.2rl J