121 DONNER RD - ELECTRIC „- ; , \ , CITY OF ATLANTIC BEACH
1 f 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-2257
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 150 AMPS, SINGLE PHASE
Estimated Value:
Issue Date: 10/5/2016
Expiration Date: 4/3/2017
PROPERTY ADDRESS:
Address: 121 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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 i(v -ELEC _zz J!" I
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS:jI panher �a PERMIT# lb- li{4 2,
JEA INFORMATION REQUIRED ON ALL PERMITS /9) AMPS 2CeU VOLTS I PHASE
VALUE OF WORK$ 62-00
NEW SERVICE ❑ Overhead . Underground D Underground up Pole
residential(Main) Service
10-100 amps 1101-150amps _.I 151-200atnps ..1 amps # of Meters
1_1Commercial(Main)Service
I 0-100 amps :: 101-IS0amps I .151-200amps I amps ICT Service amps
Conductor Type Size
"-Multi-Family(Main)Service
'10-100 amps fl 101-150amps 1151-200amps :J amps #of Unit Meters
ElTemporary Pole 11 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps D 150amps I :200amps 1: amps I CT Service amps
•
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30am ps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
1-leat Circuits: # circuits t kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:swimming Pool I I Sign 0Smoke Detectors_Qty C:Transformers KVA LTMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can :Safety Inspection i .Panel Change =JOH to UG
I.'Other:
.tom
Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months. 1 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 docs not give authority to violate the provisions ol'any other state or local law regulation construction or the performance of
construction. ))
Property Owners Name .111,-1 S (I
. /rs•Ic!r$) ) Phone Number .294).7
Electrical Company KW sh r 1 Tia,"c. (,..t 1 Office Phone 21-1'8 i Fax d l-1 (3
Co. Address: _ ito S 11 f"-` 1wr .)+1, City 1P-1.- all State Zip 7'22 Si
License Holder(Print): C✓c._ ev t On r- State Certification/Registration#
Notarized ' ,t�� etlder AA
1 STATE op FIARIDA Before me this day of _ �:i 20
Expires 11:12 2017 Signature of Notary Public