225 Sherry Dr elec permit CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
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-3501
Job Type: ELECTRIC ONLY
Description: remodel 10 outlets &fixtures
Estimated Value:
Issue Date: 3/16/2017
Expiration Date: 9/12/2017
PROPERTY ADDRESS:
Address: 225 SHERRY DR
RE Number: 169804-0000
PROPERTY OWNER:
Name: Mortenson, Marie
Address: 225 Sherry DR
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
, ER13012523
Address: 908 S 11TH AVE CIA MARK STEVEN KNIGHT
Phone: -
FEES:
Lighting Outlets, Including $6.00
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $65.00
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,FL 32233
Ph(904)247-5826 Fax(904) 247.5845 —6 cf�c-
.SOB ADDRESS: � /YV �r'Vlr- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhand ❑ Underground Ell Underground tip Pole
❑Residential(Main)Service
:30-100 amps 101.150amps 1 1151-200amps 0 amps #of Meters
: .Commercial(Main)Service
❑0-100 amps 1.1101-150imps 1 :151-200amps I : amps f7CTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
1,'.0-100 amps 1 1101-150amps ' x.151-200amps -1 amps #of Unit Meters
uTemporary Pok J amps
SERVICE UPGRADE 7 amps I CTService_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1:1100 amps 1.1150amps 0200amps L amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUMD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-1001mps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixturos:
OTHER ELECTRICAL PROJECTS
:iSwin ming Pool i . Sign 7Smoke Detectors_Qty :]Transformers KVA "Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
i Replace Sumt(Damaged Meter Can uSafety,Inspection FPanel Change 70H to UG
Other
Pemtit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby mrdfy that i have
read this application and know the Some 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 my other state or local law regulation construction or die performance of
construction.
Property Owners Name ft)NTYfn Tei./ Phone Number
Electrical Company an %" 'CrD.r L_L,C— Office Phone Q ql -ftq Fax-1-1-14M
Co. Address: 1"' City:AL && state_zip
License Holder(Print): t /`"t State Certifrcation/Registration# EWA' f T$"
Notarized SignnT nmw t e L'U=Holder
NOTARY^ Before me this day of 20
erATE of n.ORM
cannot P19110111 Signature of Notary Publico
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