610-612 OCEAN ELEC 2016 ' '" ss f CITY OF ATLANTIC BEACH
, 800 SEMINOLE ROAD
got ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\J1�1�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -735
Job Type: ELECTRIC ONLY
Description: 610 AND 612 OCEAN 30 SWITCHES EACH
Estimated Value:
Issue Date: 3/28/2016
Expiration Date: 9/24/2016
PROPERTY ADDRESS:
Address: 610 OCEAN BLVD
RE Number: 170133 -0000
PROPERTY OWNER:
Name: SKINNER JR, C B
Address: 78 SAN JUAN 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 $36.00
Total Payments: $95.
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
JOB ADDRESS: f / j 61 0 Wilk,(„ PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS gliCi AMPS Z2/0 VOLTS 1 PHASE
1'AL UE OF WORK $
NEW SERVICE 0 Overhead ❑ Underground Cdr Underground up Pole
❑Residential (Main) Service
00 - 100 amps O 101 150amps 01151 200amps I i _amps # of Meters
0 Commercial (Main) Service
00 - 100 amps I.:J 101 150arnps 0151 200amps 11 amps i 1CT Service amps
Conductor Type Size
OMulti- Family (Main) Service -
0 0 -100 amps 1: l50amps C_l 151 200amps ❑ amps # of Unit Meters
❑Temporary Palen _ amps
SERVICE UPGRADE 0_ amps ti CT Service amps
■1EW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0 100 amps 0 150amps 0200amps O amps OCT Service _ amps
VDDITIONS, REMODELS REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: ' 3 Q 0 - 30amps 31- 100amps 101- 200aznps
Appliances: 0- 30amps 3l- I00amps _ 101- 200amps
A/C Circuits: 0- 6Oamps �61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3t:'
PTHER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign O Smoke Detectors _ Qty L J Transformers _ KVA ❑Motors __ Yip
IRE ALARM SYSTEM (Requires 3 sets of plains)
Qty volts/amps - VALUE OF WORK $
EPAIRS/MISCELLANEOUS
OReplacc Burnt/Damaged Meter Can L] Safety Inspection ❑Panel Change ❑OH to tJG
❑Other:
- snit 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 T have
d 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
cified 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
IStruetion.
)perry Owners Name Phone Number
!ctrical Company K,' )rA r £t clitl 1,1_ L Office Phone . Fax
Address: 70 8 f I / r"'�
a. ._� City _ 144- (fS'G(‘. State F1 Zip 72 2 S
ease Holder (Print): _ 5T c. (n r State Certification/Regis . tion # 6g13C
tarized Signature of License Holder �� — _ /�_6 1 2¶ 2
r am p4, Shirley Notary Public State of Florida
. ' e u� .7,, - � ��, �� ' --r" �� fir, L �
y Graham c; re o f Notaty Public 40/&
VP- a m" M Commission FF 0869Wgn'
4 OFhP Expires 02/14/2018 —