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1960 BEACH AVE - ELECTRIC ✓6 \�s " --", s, CITY OF ATLANTIC BEACH r Ask j 800 SEMINOLE ROAD J tl- : 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-1609 Job Type: ELECTRIC ONLY Description: install 12 new fixtures Estimated Value: Issue Date: 7/18/2016 Expiration Date: 1/14/2017 PROPERTY ADDRESS: Address: 1960 BEACH AVE RE Number: 169525-0050 PROPERTY OWNER: Name: FARRIN, JONATHAN S &ANNA L, * Address: 1960 BEACH AVE 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 Lighting Outlets, Including Fixtures $7.20 Trade Permit Base Fee $55.00 Total Payments: $66.20 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH :2- 6.L EC- l(DOci 800 Seminole Rd,Atlantic Beach,FL 32233 a /r Ph(904)247-5826 Fax(904)247-5845 f (, _ /2/5r JOB ADDRESS: / / 0© �ca i PERMIT# / I- JEA INFORMATION REQUIRED ON ALL PERMITS 2-LW AMPS 2`1 b VOLTS I PHASE VALUE OF WORK$ NEW SERVICE El Overhead ❑ Underground ❑T Underground up Pole ❑Residential (Main)Service ❑0-100 amps U 101-150amps ❑151-200amps 0 amps #of Meters ❑Commercial(Main)Service 00-100 amps ❑101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service 00-100 amps 0101-150amps ❑151-200amps 0 amps # of Unit Meters ❑Temporary Pole 0 amps SERVICE UPGRADE 0 amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps 0CT 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: to OTHER ELECTRICAL PROJECTS ❑Swimming Pool 0 Sign ❑Smoke Detectors_Qty OTransformers KVA riMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 0O to UG LI Other: 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 Phone Number Electrical Company (NI'liT lam.�`t-tVZi`c, Office Phone Fax Co.Address: 1 FL A-V -- Covft, City S5 )L f4-1\, State r 7 Zip License Holder (Print): 5' (A,is N r _---. State Certification/Registration# Oella ZSZ� Notarized Signature of License Holder `:' DONNA L BART1.E 1392 Before me this 1g'N' day of;key 20 MY COhWNSSION bl c U0 EXPIRES:May 14,2017 Signature of Notary Public � Q Bonded Thru Notary Public Underwriters