1303 OCEAN BLVD - ELECTRIC TEMP POLE ti
`1, CITY OF ATLANTIC BEACH
j A
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
;11
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2134
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 9/23/2016
Expiration Date: 3/22/2017
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: PRIDGEN LIFE ESTATE, MARIAN S, *
Address: 1303 OCEAN BLVD C/O DAVID M PRIDGEN
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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WI II ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantis Beach. FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: f3 0 3 CX8f t A. PERMIT# 16– 35--
VALUE OF WORK f
NEW SERVICE ❑ Overhead E Underground
0RaddentW(Maio)Service DJ Underground up Pole
00-IO0 amps i i I OI.150emps i:151-200amps C•__amps k of Meters
°Commer ial(Maim)Service
C10-100amps ` I01-150amps ' I51-200nm s ;.I
Conductor Type Site P amps CT Service antes
l7MaItl-Fateily(Main)Servke
piO-100 amps i01.150amps c.l 151.200amps Lt am ,
ersporary Poi.;;_`amps P N of Unit Meters
SERVICE UPGRADE amps CT Service
amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
0100 armpsl 50amps ;200am s
p .amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: O-30amps 31-100am s 10I.200a
mps— _Appliances: 0-3Oam a 31-100amps 101-2OOempsA/C Circ0-60amps
6I-I00amps
Heat Circuits: If circuits( kw
Number of Lighting Outlets, Including Fixtures'
O'T'HER ELECTRICAL PROJECTS
°Swinmring Pool = Sign :Smoke Detector Qty rl Transformers
KVA _'Motors hp
FIRE ALARM SYSTEM (Requires 3 seta of pleas)
Qty volta/arnps VALUE OF WORK$
R P CELLANEOUS
°Replace Burnt/Damaged Meter Can Safety Inspection :!Panel Change 1,0H to UG
COtber:
Permit Noma void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby edify that I have
reed this application and lataw the same to be trot and torted All provision of laws and ordinances governing this work will be complied with whether
specified or sot. The petmit does not give authority to violate trio provisions of any other matt or local law regulation construction or Use performance of
construction /
Property Owners Name A' Ke pohr i ((lp5
��//
� Phone Number
Electrical Company - 6/t c).•r [,TGG ft/7.z-- LLC,.. Office Phone Fax
Co.Address: 90$ I1 r`'
5bv""" City TAt- i'' State i- Zip 3 A S7J
License Holder(Print): 5T"f✓� _� _
t_. f`evt 1"� State Certification/Registration 4 &Rl?tet Z¶a 3
Naeartted Signature of License Holderfir
Before me this day of ..list 6& e,.L, :M
Signature of Notary Public PI
tr
Traotty McCue P*Men
. ' , NOTARY PUBUC
_ �, j.:STATE OF FLORIDA
. . .
� Comer FFoeertie
Expiras 11/12/2017