870 MAIN ST NEW SERVICE TEMP POLE 0 1-Al ‘ -17 -06
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CITY OF ATLANTIC BEACH
s s 1
4 s 800 SEMINOLE ROAD
t) ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -765
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 3/31/2016
Expiration Date: 9/27/2016
PROPERTY ADDRESS:
Address: 870 MAIN ST
RE Number: None
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
New Single Family Electrical $60.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: r76 Nov St -tr PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 1 ct AMPS LIt VOLTS
1 PHASE
VALUE OF WORK$
NEW SERVICE 1 Overhead 1 1 Underground W.-Underground up Pole
❑Residential (Main) Service
❑ 0 -100 amps ❑ 101- 150amps 51- 200amps ❑ amps # of Meters
▪ Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑ Multi-Family (Main) Service
❑ 0 -100 amps 1101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
-- Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps ❑ amps C1 CT 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 ii Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt /Damaged Meter Can ❑ Safety Inspection ri Panel Change ❑ OH to UG
C Other:
'ennit 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
ead this application and know the same to be true and correct. All provisions of laws and ordinances goveming this work will be complied with whether
pecified 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
onstruction.
'roperty Owners Name Phone Number
electrical Company pv, ta,e Office Phone Fax
lo. Address: 30 g /1 M't' s City T 1514 State Ft Zip 72 rb
,icense Holder (Print): 5 tWL_ `w , ( State Certification/Registration # EI2l3OI W2-1
Jotari • " Si • nature o License Holder
c ltit—
o f 1 ) , k Notary Public State of Flo +re me this C::::/ day o t 1 I 1 Al 20 ) l0
Q S hirley L Graham
y w ' My Commiss FF 088990 . - �-
aFs,a Expires 02/14/2078 Si ature of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -764
Job Type: ELECTRIC ONLY
Description: TEMP POLE 40 AMPS
Estimated Value:
Issue Date: 3/31/2016
Expiration Date: 9/27/2016
PROPERTY ADDRESS:
Address: 870 MAIN ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
Trade Permit Base Fee $55.00
Temporary Electrical Service $35.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Total Payments: $94.00
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: rib tvi S liftcr PERMIT # (6--.27_?
6
JEA INFORMATION REQUIRED ON ALL PERMITS L/U AMPS 2 VOLTS / PHASE
VALUE OF WORK $
NEW SERVICE 1 1 Overhead 1 1 Underground 1 11 Underground up Pole
❑Residential (Main) Service
❑O -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps 0101- 150amps 0151- 200amps El amps 0 C Service amps
Conductor Type Size
❑Multi - Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
VTemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
VDDITIONS, 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:
)THER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
EPAIRS/MIS CELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ 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
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
istruction.
Dperty Owners Name Phone Number
ctrical Company rrvLcA r C (Le_ Office Phone 2`(7- 9i( Fax 2q?- '1)
. Address:
li City . A i, , State [ Zip 7220
ense Holder (Print): t? U"C- iWI (r_ State Certification/Registration # E i ?oils- 23
tarized t ' - ' _ ' • , s ' ' - -
F atyxY °4e Notary Public State of F rid /W
S hirley l Graham Id elor - e this .3 I day • " 4a frr 1 20
.A , g My Commission FF 086990 O Hof f a Expires 02/1412018 Si • a y re of Notary Pubh • " /
MP