70 Ocean Breeze Dr 16-ELEC-596 elec permit y\-1‘,/ �
*lot, 11\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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: 16 -ELEC -596
Job Type: ELECTRIC ONLY
Description: 8 FIXTURES
Estimated Value:
Issue Date: 3/14/2016
Expiration Date: 9/10/2016
PROPERTY ADDRESS:
Address: 70 OCEAN BREEZE DR
RE Number: 168908 -8250
PROPERTY OWNER:
Name: FOX, CARL
Address: 70 OCEAN BREEZE DR
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 $4.80
Total Payments: $63.80
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
/ 3 / � 7 Ph (904) 247 -5826 Fax (904) 247 -5845 /
JOB ADDRESS: l / ed-ST (0/I-57-1 PERMIT # /b " e2r
JEA INFORMATION REQUIRED ON ALL PERMITS c / 0 AMPS OP VOLTS / PHASE
VALUE OF WORK $
NEW SERVICE 1 1 Overhead 1 1 Underground nT Underground up Pole
❑Residential (Main) Service
00 -100 amps 0101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps 0101- 150amps 0151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
0 -100 amps ❑ 101- 150amps 0 151- 200amps ❑ amps # of Unit Meters
Temporary Pole ❑ IO amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps ❑ 150amps 0200amps ❑ 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- 100amps
Heat Circuits: - # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑ Smoke Detectors Qty OTransformers KVA ❑Motors hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK$
:EPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change 0 OH to UG
❑ Other:
unit 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
ad 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
ectrical Company /<)) € CTIN -- Office Phone Fax
). Address: 14 // K 5 Z
City � � � S tate F� Zip �z C
tense Holder (Print): S I `tpC ((m o r State Certification/Registration # CP/ 36(25
?tarized Signature of License Holder
9-tt
Before me this day of 20 l
Signature of Notary Public