1588 OCEAN BLVD - NEW ELECTRICAL i'
�S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\ji -` /� ATLANTIC BEACH, FL 32233
\ / INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2947
Job Type: ELECTRIC ONLY
Description: NEW SERVICE ELEC 200 AMPS
Estimated Value:
Issue Date: 1/4/2016
Expiration Date: 7/2/2016
PROPERTY ADDRESS:
Address: 1588 OCEAN BLVD
RE Number: 171886-0000
PROPERTY OWNER:
Name: FUSSELL, HALLIE L
Address: 1588 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
r
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING COI)F:S.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: f CW C CoW jj ivc4 PERMIT# ic a.,4)"(
JEA INFORMATION REQUIRED ON ALL PERMITS ;tit) AMPS 21I11 VOLTS / PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead n Underground 1 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps rd'r51-200amps Cl amps #of Meters
0Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps Li amps CT Service amps
Conductor Type Size
El Multi-Family(Main)Service
00-100 amps 0101-150amps [_7151-200amps ❑ amps # of Unit Meters
[1 Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps [1 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
A/C Circuits: 0-60amps 61-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool Sign USmoke Detectors_Qty ❑Transformers KVA [1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OH to UG
❑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 k'wcir C S S i Phone Number QQ Electrical Company LZ(Z1 L �-L C� Office Phone 2,17- l ci Fax .297-7 w
Co.Address: 7"$ 11 w ft--r 5"/i-`/ çlt1^/ City P vim. State F! Zip
License Holder(Print): net_ State Certification/Registration# tie( 121V
N er j
„vi,t4, SHE RI L.STEPP a
pa,, —,1.<<: Notary Public-State of Florida fore me this 0l ` day of C- 20
▪•: •' : My Comm.Expires May 31,2016 / i
'• ,'-,��`0$ Commission#EE 203994 _
'',:e or gnature of Notary Public i
o,OF F, . Bond&d Through National Notary Assn. ' / ;0-