1350 Tulip St elec safety permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ri
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)Cr DAY INSPECTION: 247-S814
306 INFORMATION:
Job ID: 116-ELEC-2391
Job Type: ELECTRIC ONLY
Description: safety inspection
Estimated Value:
Issue Date: 10/25/2016
Expiration Date: 4123/2017
PROPERTY ADDRESS:
Address; 1350 TULIP ST
RE Number: 171034-0000
PROPERTY OWNER:
Name: CHERNAYAK TRUSTEE, EVGENY
Address: 1350 TULIP ST
GENE RAIL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
, ER13012523
Addre 908S11THAVE 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: $94.00
PERMIT IS APPROVED ONLY M ACCORJD�CE WITH ALL CITY OF ATLAWIC REACH ORDINAfiCES AND ME FLORIDA
BVILDENG CODES.
ELECTRICAL PERMIT APPLICATION
Crry OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247�5845 I
JOB ADDRESS: 356 'TVI;14 Sr PERMIT N
JEA INFORMATION REOUIRED ON ALL PERMITS_2�&_AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Underground D Underground up Pole
:Rwidentfid(Main)Service
-0-100 mpg 1-1101-150amps 1151-200amps I I amps #of Meters
lCommenerclol(Main)Semi"
� '0-100 amps -1101-150amps :151-200amps f-.—amps CICT Service amps
Conductor Type_ Sin
IMuld-Fauddly(Main)Service
0-100 mpg 3101-150anaps L 151-200amps E—amps #of Unit Moters
I Temporary Pole amps
SERVICE UPGRADE 11 amps I I CT Service_amps
NEW FEEDER(ADDITION%ACCESSORY STRUCTURES,ETC.)
,. loomps 7150humps 7200amps L amps UCT Somice_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCruRES,ETC.
Outlets/Switches; —0-30amps 31-100amps —101-200amps
Appliances: ......0-30&mps 31-100amps —101-200amps
A/C Circuits; __--0-60amps 6 1.1 00amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
SwindmingPool ; Sign oSmoke Detectors_Qty iTram0ormers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qry_voltr/arnps_ VALUEOFIFORKS
REPAERS/MISCELLANEOUS
; .Replace Burnt/Dannaged Meter Can 96fety Inspection Z:Pancl Change :)OH to UG
r�Other:
permit becomes void if work does but oommance within a six moth period or work Is suspended or abandoned for six months. I hereby ocnify that I have
read this appliollon and know the game to be true and correct All provisions of laws and ordinances govemang dils work will be Compiled with whether
specified or not The permit does not give authority to violate the previsions orany othtr slaw or 100al law regulation construetim or the performanco of
commuotion.
Properry Curlers Name L- A7 A eheNya K Phone Number 05-- 4or
Electrical Company kvrf(9�1- GF-GT1111'� LLC� —OfficePhone 747- 1iSf"/ Fax
Co. Address: If (1k Atf- 5.,� City jj"L C, State EL zip V-2-F6
Licensur Raider(Print): V14 State Certification/Registration 4
Notarized Sig r e�"oL i=Ho Ide,
aNNA& qu
W3TAnY PLIKC Before me this 1;0kj day of QC;�QkDeA— 20 1 LJO
STATE OF RDMM
comma PPOW Signature of Notary Public
FVWw 11/120MY