350 3rd St elec permit •?,, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j - - ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3141
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value:
Issue Date: 1/31/2017
Expiration Date: 7/30/2017
PROPERTY ADDRESS:
Address: 350 3RD ST
RE Number: 169784-0000
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
,ER13012523
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORIHNANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233 I _7_C LE e-3 (4 1
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 3 570 -s—( PERMIT# 6 - 6
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS 240 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
7Residential(Main)Service
'0-100 amps 101-150amps Vf51-200amps amps #of Meters
_Commercial(Main)Service
00-100 amps 0101-I50amps 0151-200amps 1-1-amps ❑CTService_amps
Conductor Type Sim
❑Multi-Family(Main)Service
DO-100 amps D 101-150amps 0151-200amps ❑ amps #of Unit Meters
[Temporary Pole amps
SERVICE UPGRADE D amps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D 100 amps D I50amps D200amps ❑ amps OCT 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 Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimming Pool ❑ Sign OSmoke Detectors—Qty ❑Transformers KVA DMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty_volts/amps
REPAIRSIMISCELLANEOUS
DReplace Bumt/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 w 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 constriction or the performance of
construction.
Property Owners Name ,/177e1 Se �dlln( Phone Number �09 - 290
Electrical Company KrT M --W, C— y Office Phone 21 -ftg9 Fax 7 y7
Co.Address: 0 1( A Sal city TAI- 6(t State ri zip zsb
License Holder(Print): �'e✓Y- 1�, t f State Certification/Registration
Notarized Signature of License Halder
Tmas/IleOma PeLarm
NOTARY PUBLIC Swom and subscribed before me this day of U 20L
STATE OF FLOMDA
Omnia Ftosorm Signature of Notary Publi
_r�lrae 111122017