366 6TH ST - ELECTRIC CITY OF ATLANTIC BEACH
ss‘
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
0;319?
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2023
Job Type: ELECTRIC ONLY
Description: remodel/repair 14 outlets/fixtures
Estimated Value:
Issue Date: 9/9/2016
Expiration Date: 3/8/2017
PROPERTY ADDRESS:
Address: 366 6TH ST
RE Number: 169871-0000
PROPERTY OWNER:
Name: CARTER, GEORGE B
Address: PO BOX 331270
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
Lighting Outlets, Including $8.40
Fixtures
Trade Permit Base Fee $55.00
Electrical Repairs $35.00
Total Payments: $102.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1(0^LL6L- Do 43
JOB ADDRESS: 26 a 6 PERMIT#
,IEA INFORMATION REQUIRED ON ALL PERMITS AMPS Z-4D VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground n1 Underground up Pole
❑Residential (Main) Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 17101-150amps 0151-200amps ❑ amps #of Unit Meters
[Temporary Pole LI amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps E200amps ❑ amps GCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /4 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw/if
Number of Lighting Outlets, Including Fixtures: I
OTHER ELECTRICAL PROJECTS
[7 Swimming Pool 0 Sign 11Smoke 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 ❑Panel Change CION to UG
D 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 c a U\a Chun Phone Number
Electrical Company �r191 1 Elf Ci t �-c Office PhoneFax
(
Co. Address: (X 11 if-W I,CL-4Z' City - (R-�, State ri Zip 37211
License Holder(Print): --.:rt' Certification/Registration# 612/50f zc3
Qtarigfd Sigutgre of Licelse Holder � 1 v l
, •„y,N,,,,, SHERRI L STEPP
Before me this l) day of ‹ T I lc,
1 `•' % Notary Public-stab of Florida l i
i• Commission N FF 991712
1�, A:= My Comm.Expires May 31.2020 l Signature of Notary Public Le, / /4
'''7', , ', Bonded through National Noisy Mss. l