350 3rd St temp pole permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
R
ELECTRICAL PERMIT
MUST CALL BY 4PMI FOR NE)(T DAY INSPEC17ON: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2658
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 11/28/2016
Expiration [late: 5/27/201.7
PROPERTY ADDRESS:
Address: 350 3RD ST
RE Number: 169784-0000
GENE LAL CONTRACrOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
,ER13012523
Address: 908S11THAVE 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: $94.00
PERMEF IS APPROWD ONLY IN ACCORDANCE WELD ALL CEITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC REACH
�,000 Seminole Pd.Atlantic Beach,FL 32233
3 Y�� Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: ?5b Weer PERmrr#
JEA INFORMATION REQUIRED ON ALL PERMITS--tp AMPS 00 VOLTS PHASE
VAL V-6 OF WORKS
NEW SERVICE [:] Overhead Underground D Underground up Palo
DResidentiall(Main)Service I am a #of Motors
0-100 amps _J101-150amps 7151-200himps p
I ;Commercial(Win)Service
110-100 amps J101-150amps IISI-200amps -1--mps Fic"r se�vioc_amps
Conductor Type Sisst
r I Multi-Formily(Malik)Sarvice Ps of Unit Meters
100 amps :3101-150amps -1151-200humps 1 101
@fTempoinaij -YO—MPS
SERVICE UPGRADE 0--arrips f i CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-100 amps I.j 150amps J200amps ------amps 7CT Service—amps
ADDITIONS,REMODELS,REPAIRS.BUILD-OUTS.ACCESSORY STRUCTURES,ETC.
Outlets/Swimhes: 0-30amps 31-100homps —101-200amps
Appliances: -�0-30amps —31-100amps 101-200amps
A/C Circuits: 0.60ampt 61-100amps
Heat Circuits: 0 circuits @-----�kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS KVA IMotors_hp
Swimuningisool CSign 08moke Detectim;_Qty �]Trikfflfbrknors—
FIRE ALARM SYSTEM (Requires 3 sets of plaw)
oty—volistamps— VAL UE OF WORK$—
REPAIRS/MISCELLANEOUS
I lReplace Burrit/Darnaged Meter Can I..Safety inspection I I Panel Change JOH to UG
I Other:
11cratit becomes void if week does not consuresice,within a six month—period or week Is suspended or abandoned for six months, I hcrcbY OVAICY Ones I have
read this application and know the same to be tntc and center. All provisions of laws and ordinances goveming this work will be complied with whether
stnsci6ed or not, The pennit does not give authority to violate the Provisions of my other state or local law regulation coeunuction or the perronnance of
011 neNumber 66- PYK
Property Owners NamD to Pho
sk
Electrical Company L'Lkz0[!e. LLC- Office Phone
Co.Address: 110- a"-e city state fL zip 77-7-50
License Holder(Priut)t %ff.4 State Certification/Registration
Notalied 0inn,?"Ak"#o1der NOUF
NOT PUBLIC Before me this
UrATE OF FLORIDA day of
Cm"FFGWIW Signature of Notary Pik
Eom 11112=7
CIT�OF ATLWC EEO
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ATATIc BEAC,FL 32233
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A ...t Due: $156,60 �,ah $15b.60
,and,, 1,1,rmatim;
lender IYPI� CCS156 60
lender p�urt:
change Due: 10.00