800 MAYPORT RD #7 - ELECTRIC , 01j11-1:41
„ CITY OF ATLANTIC BEACH
A s-) 800 SEMINOLE ROAD
J 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-1323
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 3 OUTLETS
Estimated Value:
Issue Date: 6/10/2016
Expiration Date: 12/7/2016
PROPERTY ADDRESS:
Address: 800 MAYPORT RD UNIT 7
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 62-ELEC.247-5826 Fax(904)247-5845 �62-ELEC. - I j Z3
JOB ADDRESS:— TX '"'l /Qvi1L.-. PERMIT#
SEA INFORMATION REQUIRED ON ALL PERMITS /50 AMPS .Q6 VOLTS 7 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
:Residential (Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
:Commercial(Main)Service
DO-100 amps 2101-150amps L11S1-200amps Ll amps OCT Service _amps
Conductor Type Size
:Multi-Family(Main)Service
1.10-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
OTemporary Pole Li amps
SERVICE UPGRADE 0 amps U CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑I50amps CJ200amps 0 amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2 •0-30amps 31-100amps 101-200amps
Appliances: O-30amps 31-100amps 101-200amps
A/C Circuits: 0-60arnps 61-lOOamps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can Li Safety Inspection LPanel Change OOH to UG
0Other:
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 Gs-A, Phone Number
Electrical Company Cyr A ,.I U2(L. LLQ- Office Phone Fax
Co. Address: r
/l M.. /yci: s'ci.AW City TPr1 . 41 .4%. State fr. Zip 7225-6
License Holder(Print): STat. /. 1t II State Certification/Registration# 302513
Notarized Signature of License Holder _..
issA J NIX41ACK -- 20 it,
Mr c a FFlS21 Bforeeme this_, da •
Exams PeDumY IL MRS gnature of Notary 'ublic L. u C- -c-