81 5th St elec permit �3 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-ELEC-3037
Job Type: ELECTRIC ONLY
Description: underground up pole 200 amps/240 volts/single phase
Estimated Value:
Issue Date: 1/19/2017
Expiration Date: 7/18/2017
PROPERTY ADDRESS:
Address: 81 5TH ST
RE Number: 170151-0000
PROPERTY OWNER:
Name: Sabatier, Nadine
Address: 81 5Th ST
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
y_
CITY OFATLANTIC BEACH •V•,
80O Seminole Rd,Atlantic Beach,FL 32233 (�_���
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS. sit' srnrr PERAIIT# 6- i,2'
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS VO VOLTS r PHASE
VALUE OF WORK J
NEW SERVICE ❑ Overhead ❑ Underground v❑I-Uudergro■nd up Pok
❑Residential(Main)Service
170-100 amps C 101-150amps t,0151-200ampa amps #of Meters T
..Commercial(Maio)Service
1:10-I00amps 1101-150amps 151-200amps amps CT Service_amps
Conductor Type Size
iJMdli-Family(Main)Service
[:0-100 amps L 101-150amps u 151.200amps 'i-amps #of Unit Meters
I iTemporary,Pok J amps
SERVICE UPGRADE !..I amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1".100 amps 11150amps 0200amps -i amps "CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I00ampa 101-200amps
Appliances: 0-30amps 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61.100amps
Heat Circuits: # circuits kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pooi Cl Sign DSmoke Detectors_Qty Y7Transformers KVA I.IMotm_hp
FIRE ALARM SYSTEM (Requires 3 Bete of plum)
Qty—volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
,Replace BumbrDamaged Meter Can "'Safety Inspection Panel Change OH to UG
Other:
Permit becomes veld If work does aol commence within a six month period or work Is suspended or abandoned for six months. I hereby coni y that 1 have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will he compiled with whether
specified or not The permit does not give authority to violate the provisions of my other slate or local law regulation construction or the palatial of
construction.
Property Owners Name 141 (.f 1114 n t. 5461 {p,/ Phone Number
Electrical Company y rr, /A _ ( ,rtTW(''( t L f _ Office Phone .tY7 98sy Fax
Co. Address: off /I K ) ct` Su.hi- City IA/- AA. State Fl zip 7773%
License Holder(Print): LetfL rVr State Certification/Registration# Mi'0)2f]-7
Notarized Sigr1� ,QEfalMUssa Holder
efAlT?DF RDaa�
Swom and subscribed before me th'• 20
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11112120 '7 Signature of Notary Public