140 8TH ST - ELECTRIC - yA.N:r
i ,ss\ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�J 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: 17-ELEC-2964
Job Type: ELECTRIC ONLY
Description: new electrical service - 200 amps/240 volts/ single phase
Estimated Value:
Issue Date: 1/10/2017
Expiration Date: 7/9/2017
PROPERTY ADDRESS:
Address: 140 8TH ST
RE Number: 170327-0000
PROPERTY OWNER:
Name: SASWATA, ROY
Address: 90 OCEAN BLVD
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
, ER13012523
Address: 908 S 11TH AVE 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 I — -LL /
JOB ADDRESS: I�U Fl, /te /'-r— PERMIT# 107
JEA INFORMATION REQUIRED ON ALL PERMITS 2OC AMPS 2/0 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE Er Overhead ❑ UndergroundHi-Underground up Pole
1Residential(Main)Service
0-100 amps 101-150amps /51-200amps amps # of Meters
Commercial(Main) Service
0-100 amps 101-150amps .151-200amps amps l .CT Service amps
Conductor Type Size
_J Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps .200amps amps ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 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
r-Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
Permit becomes void if work does not 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 or the performance of
construction.
Property Owners Name Pr146041 �G Y Sc.S L A-f - Phone Number
Electrical Company K/ic�, r ,e l'— Office Phone 2 ?'f Fax 211- 1113
3
Co. Address: p /Itv C c0✓'& City `I( h, State Ft Zip 3?2 S71
License Holder(Print): � v L [�rv�'( �,,� State Certification/Registration # LI(3012 523
Notarized Signature r lolder
f HOTS PUBLICSworn and subscribed before me this.. ( day of 20
�' �` F mil Signature of Notary Public