239 SEMINOLE RD - ELECTRIC \6s 4-'r ! , CITY OF ATLANTIC BEACH
less
A .. 800 SEMINOLE ROAD
r
� ATLANTIC BEACH, FL 32233
',' INSPECTION PHONE LINE 247-5814
4.401319
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2940
Job Type: ELECTRIC ONLY
Description: FIXTURES
Estimated Value:
Issue Date: 12/28/2015
Expiration Date: 6/25/2016
PROPERTY ADDRESS:
Address: 239 SEMINOLE RD
RE Number: 170525-0000
PROPERTY OWNER:
Name: JEVIC, LEONARD
Address: 239 SEMINOLE RD
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
Switch Outlets $30.60
Trade Permit Base Fee $55.00
Total Payments: $89.60
PERMIT IS APPROVED ONLY IN ACCORDANCE wITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: '- 1`)1 �eCv v,C,1 c ' Pc-4 PERMIT# E - C
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground I IJ Underground up Pole
Residential(Main)Service
0-100 amps (1 101-150amps ❑151-200amps - amps #of Meters
[ Commercial(Main) Service
0-100 amps I ;101-150amps ;151-200amps amps I ;CT Service amps
Conductor Type Size
Multi-Family(Main) Service
[0-100 amps 101-150amps -151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE J amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps H 150amps -200amps , amps [LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OU- S,ACCESSOR TRUCTURES,ETC.
Outlets/Switches: /a 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: ( 0-60amps 20 61-100amps
Heat Circuits: r # circuits S' kw
Number of Lighting Outlets, Including Fixtur- : /2
OTHER ELECTRICAL PROJECTS
' 'Swimming Pool -I Sign P Smoke Detectors f -Transformers KVA -.Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
i Replace Burnt/Damaged Meter Can IlSafety Inspection I :Panel Change OH to UG
-1 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 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.
Property Owners Name Phone Number
Electrical Company �ti tc'1-- �fC41 l( Office Phone ac'() - %3R.L/ Fax (7 -98413.
Co. Address: q5 8 I/ I�u-e . S, City T_J State FL Zip 3X05
N
License Holder(Print): 1()/1 a( teen k,'-\,*r4-- State Certification/Registration# 51 l•o 125 F
Notar.. ' • • o , I i 't, • older _— ......�.I
r ry Notary Public State of Florida 5,, 20
/' Shirley L Graham S orn and subscri:: befor
p` y Commission FF 086990 �• r
o,,� Expires 02/14/2018 S :nature of Notaq.Public ''4 ___,■
-