115 DONNER RD UNIT B - ELECTRICAL 'yrL-1.r
�J j• CITY OF ATLANTIC BEACH Aqr J 800 SEMINOLE ROAD
J!� =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
1-J;319
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2606
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: u ��
Address: 115 DONNER RD B
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
Trade Permit Base Fee $55.00
New Single Family Electrical $60.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845 1 6 ELEC Z(o,D(o
JOB ADDRESS: 1 i c b Amt.-- ial.
PERMIT# / /CY/ —
JEA INFORMATION REQUIRED ON ALL PERMITS /V AMPS 0(0 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead a Underground IF5 Underground up Pole
OResidential (Main)Service
CIO-100 amps 0101-150amps ei51-200amps CI amps # of Meters
I.ICommercial(Main)Service
CJ 0-100 amps I.J 101-15Oamps 01 S 1-200amps i i amps U CT Service amps
Conductor Type Size `
OlVllulti-Family(Main)Service
U0-100 amps 0101-150amps LI 151-200amps 11 amps #of Unit Meters
:Temporary Pole 0__ amps
SERVICE UPGRADE n amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
n100 amps Fl 150amps CJ200amps Li amps n CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: O-3 Oamps 3 l-100arnps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: O-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
USwiniming Pool 0 Sign CI Smoke Detectors.. Qty 0 Transformers KVA 0Motors_—lap
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps _ VALUE OF WORK$
REPAIRS/MISCELLANEOUS
(Replace Burnt/Damaged Meter Can [I Safety Inspection LIPanel Change UOB to UG
[3Other:
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
-ead 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
;pecit;ied 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
:onstruction.
C
koperty Owners Name fir`''`,,1
5 (.AA b — Phone Number
Company i'11 j•) " el& TIRi - Lt-L Office Phone 2lI7- Ifi4 Fax
io.Address: 90s Pm- +vt." S'1,-, City. 44- all State 1f Zip 721575 -
.icense Holder(Print): >.%/, • 1' State Certification/Registration# 'l 50(zr23
Itigy
Notarized Signature of License Holder `/
,,�A.;;`s,,, SHERRI L.STEPP fore me this J day of LJ 20 /
1 A Notary Public-state Of Florida
• : l' :,•_.i. My Comm.Expires May 31,241
+;��� A Commission#EE 203934 gnature of Notary Public
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