1695 Selva Marina Dr elec permit CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
]OBINFORMATION:
Job ID: 16-ELEC-2536
Job Type: ELECTRIC ONLY
Description: new underground service - 200 amps/ 240 volts/ single
phase
Estimated Value:
Issue Date; 11/10/2016
Expiration Date: 5/g/2017
PROPERTY ADDRESS:
Address: 1695 SELVA MARINA DR
RE Number: 171999-0000
PROPERTY OWNER:
Name: Grady, Patrick James
Address:
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
,ER13012523
Address: 908S11THAVE QA MARK STEVEN KNIGHT
Phone:
FEES:
New Single Family Electrical $70.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FT, 32233
Ph(904)247-5926 Fox (904)247-5945 S-
JOB ADfkESS: UK �elro_ Au'-ov't I)r, PERMIT N -/90Y
JEA INFORMATION REQUIRED ON ALL PERMITS_140 AMPS JqV VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead El Underground 2rUnderground up Pole
-Residential(Main)Service
: 10-100 amps 0101-ISOMPS 451-200amps �]___fimps #of Meters
,lComesercial(Main)Service
10-100 amps LA01-150ampa i 151-200amps J-111ups 1-ICTServi�_aMPS
Conductor Type Sim
IMulti-Faraily(Main)Service
-JO-100 amps 11101-150arnpis -1151-200amps U amps of Unit Mote"
-)Temporary Pole I i amps
SERVICE UPGRADE 7—amps 7 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-)
L a 9 (2CT Service amps
100amps :1150amps C200amps .— mp
ADDITIONS,REMODELS,REpAIRS,BUILD-OUTS,ACCESSORY STRUCTURES.ETC.
OutletstSwitchea! —0-30amps 31-100amps lot-200arniss
Appliances: —0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_____1cVv
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
-ISwimmirgPooi . Sign -Smoke Detactors_Qty DTransformens KVA : 11,10tOrs-1111)
FIRE ALARM SYSTEM (Requires 3 sets of plane) VALUE OF WORK
Qty—voltslamps—
REpAIRSWSCELLANEOUS
E Replace,Bumt/Damaged Meter Can L Safety Inspection �11)anel Change nOHtOUG
Other:
D
p ..lubwma Vold lrWOWdOOS Mi CMMAM Within Ash` inmms govmingthi,�k will be 0OW110d wt whether
read this application and know the mate to be Me and coma. All provigionsoflawsandord , ,,smection of the p4durIONCt Of
spocified or mi. The perfAlt does not give unhority to VIOhft the provisions of my other Am or local law regulmOl J>rc, rcLASer-
construction, P�A ,�ek, LJpjtS C-)roLIN — P -
property owners Name Phone urnber
I t-t- Office Phone Faxin-907
Electrical Company
City state
Co.Address:
�tky_ state Certification/Registration 4 ffw�
e of License Holder day of JJJLQ��2o__Llt,6
Be�elmc
1yotarized SignatUP:041pmdm e
,raw Before me this
"OTO
C,,#FM" sipatmi;of Notary 10
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,F.32B3
11/10)2016 10:34:55
CREDIT CARD
VISA SALE
Cwd WJOW=0614
SEQ#: 2
W#: 244
INVOICE 2
ApprovA Code: 093459
fty KIW: mnle
MD*: Crkm
Ta AT*": $0.00
W Code: M
SAIE AMOUNT $1292
CUSTOMER COPY
CITY OF ATLANTIC BEACH
900 SEMINOLE ROAD
ATLANTIC REACH, FL 32233
PHONE (904) 247-51126
Cashier Id: atibcld\atibbja
Receipt Date: 11/10/2016 10:36:03 AM
Receipt Number: OS-71712
Job ID: 16-ELE-2536 - new underground sery
ice - 200 ups/ 240 wits/ single phase ELI
- New Single Family Electrical $70.00
Job ID: 16-ELEC-2536 - new underground sery
ice - 200 amps/ 240 voLts/ single phase EDE
PR - State Elec DBPR Surcharge $2.00
Job ID: IS-ELEC-2536 - new undergrourd sery
ice - 200 amp./ 240 volts/ single phase EDC
A - State Elec DCA Surcharge S2.DO
Jab ID: 16-ELEC-2536 - new underground sery
ice - 200 amps/ 240 volts/ single phase TP
- Trade Permit Be. Fee $55.00
Amount Due: $129.00
Tender Information: Cash $129.00
Tender Type: CC
Tender Amount: $129.00
Charge Due: $0.00