1733 PARK TER E - ELECTRIC �" r : �s CITY OF ATLANTIC BEACH
z '.° 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J. j11>r.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-490
Job Type: ELECTRIC ONLY
Description: 33 FIXTURES
Estimated Value:
Issue Date: 3/3/2016
Expiration Date: 8/30/2016
PROPERTY ADDRESS:
Address: 1733 E PARK TER
RE Number: 172020-0406
PROPERTY OWNER:
Name: COONAN TRUST, JOHN J
Address: 1733 PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $19.80
Total Payments: $78.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
�_ I Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1 13 law (A r e r rot C Q €1. . • PERMIT#
•
JEA. INFORMATION REQUIRED ON ALL PERMITS _ AMPS VOLTS PHASE
VALUE OF FORS$•
NEW SERVICE ❑ Overhead 0 Underground EU Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps 0101-1S0amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps 0101-1SOamps 0151-200amps 0 amps #of Unit Meters_ ._.--
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service, .amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 01S0amps 0200amps 0 amps OCT Service amps
3DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 ( 0-30amps 31-100amps 101-200amps
Appliances: 3 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps _. 61-100amps
Heat Circuits: • #circuits @ kw
Number of Lighting Outlets, Including Fixtures: J S-
)THER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers KVA OMotors hp
IRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$•
Qty volts/amps
EPAIRS/MISCELLANEOUS
0Replace Bumt/Damaged Meter Can 0 Safety Inspection °Panel Change OOH to UG
0 Other: _
nnit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. l hereby certify that I have
Id 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
ecified 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
nstruction.
operty Owners Name _ Phone Number
1 ■ I Office Phone �`("� CA`j Fax saw) )%'i3
ectrical Company r l -
>. Address:
Q% 1 i 02--Ave S. City. PY gdm State -� Lip a
sense folder (Print): t�� 1�✓NiS1,--.+-
State Certification/Registration 491 l 1aSa3
narized Signature of License Holder f T I
y� fore me this � � 20 AO
��pY P4`Y: Notary Public State of Florida : ��-
Shirley l Graham
� , o My Commission FF 086990 gnature of Notary ' I lie 1��
.4,._
'1`oi Ho! Expires 02!14!2018