125 DONNER RD - ELECTRIC -i \J`l:r,
j ; '1\ CITY OF ATLANTIC BEACH
;,;,,,, f 800 SEMINOLE ROAD
44-,= ,- r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'�\J 1;1
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2258
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: 125 DONNER RD
RE Number: 172147-0000 —PROPERTY OWNER:
Name: DOVE, MARY FRANCES
Address: 125 DONNER RD
GENERAL CONTRACTOR INFORMATION:KNIGHT ELECTRIC LLC
Name:
, 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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 ( -E FC - Z2 J
JOB ADDRESS: (2 r { ne. a PERMIT# t& I V17
.IEA INFORMATION REQUIRED ON ALL PERMITS (9) AMPS 246 VOLTS ( PHASE
VALUE OF WORK$ 620Q
NEW S 'VICE ❑ Overhead [Underground 0 Underground up Pole
v. 'esidential(Main) Service
I. 0-100 amps It 01-150amps I ..151-200amps ti amps #of Meters
n Commercial(Main) Service
10-100 amps 1101-150amps _151-200amps _I amps CJCT Service amps
Conductor Type Size
. iMulti-Family(Main)Service
u0-100 amps ❑101-150amps 0 151-200amps 0 amps # of Unit Meters
fiTemporary Pole : . amps
SERVICE UPGRADE 0 amps L I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
U 100 amps 1 150amps 11200amps Li_ amps :.ICT Service__, amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-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
i (Swimming Pool Sign ; Smoke Detectors_Qty ❑Transformers KVA UMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK $
Qty volts/amps
REPAIRS/MISCELLANEOUS
JReplace Burnt/Datnaged Meter Can I (Safety Inspection Panel Change I IOH to UG
I_J Other:onillmlmllmmoloillMlinIIIIIEMminnNmimllmmlimillminmmlIllMMNEIIIImm
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Permit becomes void if work dues riot 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 ur the performance of
construction.
Property Owners Name 5 (k 6,.,/ Phone Number t( 2e0.)
Electrical Company KAAsl,r e -tc- 1.L t-- Office Phone 211- 481-'( Fax 2`11 48L17
Co. Address: (119S 04%.- 44V' &v City .t/4 t'-k State fig Zip -3'22,51)
License Holder(Print): 7 I cv C. vt C State Certification/Registration #1E1620-3
Notarized '•na Golder
•�,� NO?AftY PlialiC
sll►YE nem Before me this `"'[ day of __J-20 _
ConitrtM>�'oe111'rtbPublic
• — IIthZ7017 Signature of Notary