1695 SELVA MARINA DR - TEMP POLE r1 l'AI J
.o ' : S� CITY OF ATLANTIC BEACH
"" .) 800 SEMINOLE ROAD
J� --- v� 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-1804
Job Type: ELECTRIC ONLY
Description: temporary pole - 40 amps
Estimated Value:
Issue Date: 8/9/2016
Expiration Date: 2/5/2017
PROPERTY ADDRESS:
Address: 1695 SELVA MARINA DR
RE Number: 171999-0000
PROPERTY OWNER:
Name: MAXINE MANLOVE, RICHARD HELLER
Address: 1695 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
-- - ,_ -- - --- -----FEES:
State
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845 110-6 L L .— /110 9
JOB ADDRESS: U^ l5±. X I✓A f' o.iy.! A fir_ PERMIT# /14 ! it
7
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VALUE orWORK$
NEW SERVICE 0 Overhead 0 Underground Or Underground up Pole
°Residential(Main)Service
OO-100 amps r.3101-150amps IJ I51-200amps ❑ amps #of Meters
Ci Commercial(Main)Service
070-100 amps CJ101-150anaps f1151-200amps ri am s
Conductor Type Size p OCT Service amps
OMulti-T+amlly(Main)Service -
,00-100 amps 07101-150amps 01151-200arn s fJ
Temporary Pole U lib amps p amps #of Unit Meters
SERVICE UPGRADE 11 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑I50amps 0200amps ❑ amps f1CI'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 0 Sign 1:!Smoke Detectors__Qty ❑Transformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can LI Inspection ❑Panel Change 11011 to UG
❑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 wilt be complied with whether
specified or not. The pe nit 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 r t L A Lk\Li Phone Number _
Electrical Company . Wlc)►`f a,t abti - Office Phone 17 K) Pax,,,,,2-4/- 9 irl 7
Co.Address: tn 1/w r S. City t' ati`' . State F1_A Zi 37
License Holder(Print): e 1/� tem r P
State Certification/Registration# L IZ�1 Z's'Z 3
Notarized Signature of.License Holder
Before me this e day of 20 1(.0
Signature of Notary Publi
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�' •STATE OF FLORIDA
' "' es 11/12/2017