395 12 TH ST -ELECTRIC , ,
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CITY OF ATLANTIC BEACH
S.s. 800 SEMINOLE ROAD
- ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2022
Job Type: ELECTRIC ONLY
Description: new overhead service, 300 amps, 240 volts, 1 phase
Estimated Value:
Issue Date: 9/9/2016
Expiration Date: 3/8/2017
PROPERTY ADDRESS:
Address: 395 12TH ST
RE Number: 171922-0000
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
, ER13012523
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
New Single Family Electrical $90.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 'I IIE FLORID:t
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 (b-6(,6C.
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Ph(904) 247-5826 Fax (904)247-5845
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JOB ADDRESS: <9lS-- PERMIT#
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VALUE OF WORK$
NEW SERVICE Overhead ❑ Underground EcUnderground up Pole
❑Residential(Main)Service
Li 0-100 amps . 1101-150amps Cl 151-200amps g.- Ail amps #of Meters
Ii Commercial(Main)Service
00-100 amps 101 150amps l 151-200amps ❑ amps OCT Service amps
Conductor Type Size
LI Multi-Family(Main)Service
❑0-100 amps L 101-150amps
Ll 151-200amps C amps #of Unit Meters
❑Temporary Pole 17 _amps
SERVICE UPGRADE i 1 amps C CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C1100 amps 150amps ❑200amps C amps I;CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100atnps 101-200amps
A/C Circuits: 0-60atnps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool C Sign LISmoke Detectors_Qty ETransformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Li Replace Burnt/Damaged Meter Can i_,Safety Inspection ,(Panel Change Ll OH to UG
U 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 A F A Q v v LM* ( L LI- - Phone Number
��✓I I I E a- -tet L LLC_ Office Phone .210'9 l Fax '21"/7-9F117
Electrical Company S I`
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Co.Address: C' 11'-' o 5--,t'tCity - (G' State f�' Zip T2?1
License Holder(Print): 5tz-/Q-- ic14i' _ State Certification/Registration# 02(3012-S-2-3
Notarized Signature ofLicense holder bvl
1I or.VI .,, SHERRI L STEPP Before( me this day of 67-" 20 '
'ti, Notary Publ4c Stats of Florida' . 1 Commission I FF 994782 i Signature of Notary Public ( /�1r i , 4 ' J
( ~'r'.:►:"' OWN yid ury Man.