129 DONNER RD - ELECTRIC 1-• S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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-2256
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 150 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $5,200.00
Issue Date: 10/5/2016
Expiration Date: 4/3/2017
PROPERTY ADDRESS:
Address: 129 DONNER RD
RE Number: None
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
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
• ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 I / r /
Ph(904) 247-5826 Fax (904) 247-5845 _ €C--Z Z5(v
JOB ADDRESS: (24 tel PERMIT# /tc,' Ilil
JEA INFORMATION REQUIRED ON ALL PERMITS /56 AMPS 2(t) VOLTS / PHASE
VALUE OF WORK$ c204),
NEW SERVICE ❑ Overhead dUnderground ❑i Underground up Pole
Residential(Main) Service
'-0-100 amps 1101-150amps :_]151-200amps i amps #of Meters
i Commercial(Main) Service
:0-100 amps , 101-150amps ;=151-200atnps 1 amps 'CT Service amps
Conductor Type _.. Size
Multi-Family(Main)Service
0-100 amps J 101-150amps :151-200amps 1 amps # of Unit Meters
_]Temporary Pole T.'• amps
SERVICE UPGRADE lJ amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps I :1 S0amps 0200amps I Damps f1CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 l-l 00amps 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 I Sign 0 Smoke Detectors Qty '_ITransformers KVA 11 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 liPanel Change LJOH to UG
Other;
IMIIIIMMENIIIIMIIINIIMMIIMMENNIMIIIIMIIIIIMENINIIIIIMIIIIMIIINIIIIIIIIIIMIIIIIIIIIIIMMIONIMMII
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 MI 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, _,[ , I r
Property Owners Name �' r`J C ()eirrS�N Phone Number 71-4 '2go7
s
'� k` blaTftr L G Office Phone 2`'n- 71310-( Fax 247 #Y1/3
Electrical Company
Co.Address: 'PS (0- / S- J. City 10+11- 6 1-+. State f. Zip 3720
License Holder(Print): ]c'iA v- )"..i- State CertificationlRegistration# LPl30IZ423
Notarize!, , , atstatailikkeiRattiolfolder %PI
#lOTA1tYt�IJILO �-{( I( /1
1� eT/1TN Cr PL�CNMOA Before me this l day of .0.1liit1• 20 `E'
-4,..4-t. oomt FPOIVIN0
moms iiiiv/201v Signature of Notary Public,