1619 Beach Ave elec permit L,I�JJ'
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Ji319�
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
Job ID: 16-ELEC-2115
Job Type: ELECTRIC ONLY
Description: repair weatherhead on overhead service
Estimated Value:
Issue Date: 9/21/2016
Expiration Date: 3/20/2017
PROPERTY ADDRESS:
Address: 1819 BEACH AVE
RE Number: 169648-0000
PROPERTY OWNER:
Name: MOODY, DOUGLAS W
Address: 1619 BEACH AVE
GENERAL coryTRACTOR INFORMATION:KNIGHT ELECTRIC LLC
Name:
ER33012523
Address: 906 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ra.laMagt MACATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
j a ,,rzrz Ph(904)247-5826 Pax(904)247-5845 lu- E(6C- a,I )S-
JOB
S.TOB ADDRESS: !�I/ VJ�-� Am- PERMIT#
AOP vfo
VALUE OF WORK$
NEW SERVICE El Overhead ❑ Underground D Underground up Pole
flResidenthd(Main)Service
J0-100 amps OI01-150amps a151-200amps Camps of Meter.
❑Commercial(Mala)Service
GO-100 amps [1101-150amps U151-200amps O-----amps L1CT Service amps
Conductor Type Size
CMaltl-Family(Malo)Service
00-100 amps ❑101-150amps 0151-200amps Damps #of Unit Meters
❑Temporary Pole L7_......amps
SERVICE UPGRADE G-----mnpe 0C Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps OISOamps 0200amps Ll_amps OCTService`emps
ADDFTIONS,REMODELS,REPAIRS,BUH,D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0.30amps �31-I00amps _ _101-200amps
Appliances: 0-304mps 31.100emps 101.200a nips
A/C Circuits: �060amps 61.100amps
Heat Circuits: i #circuits(tg—kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool OSign ❑Smoke Deteotm%—Qty OTransformers KVA OMoton_hp
FIRE ALARM SYSTEM (Requlra 3 sets of plana)
Qry_volwamps VALUE OFWOR[J
REPAIRS/MISCELLANEOUS
QReplace Bura/Damaged Met"Can / OSafety Inspection Optimal Chane OOH to UG
GOther: k0t),k WrhY—_&A,0 OM ar<-PV d I&VICC
Permit becomes void if wwk does not commence within"x mmth puled or work is awpendd or abandoned for au months I hereby cudry that l have
read this appOnam w l know the utrc to be true and conn. All pmWsiom of lam and ordinances ievemtng this work will b,complied with whaawr
specifidwnot, nepchnit does netgiveaalloriryto vlalnte theproviciow ofmyorherema wlocel kw rcaWYloncmumetion wNepertomunw of
OPTIVIOntion
Property Owners Name UW � Phone Number
Electrical Company 1 '�L Office Phone 20- MY Fax 2117- JVD
Co.Address: Yo I[K 4L sy. Lr, City jrpL 6 k State_n_Zip ZTa
Liman Homer(Print): Cors S Certification/Registration#
Notarized Signature ofLkewe Holder
Before me this da 201SJG-_
Signature of Notary
IBOTARYPUmdG
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