335 10TH ST - TEMP POLE , ,5,,J...„,,
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, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,,,....,.._
ATLANTIC BEACH, FL 32233
--0.i31>'' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0017
Description:
Estimated Value: 0
Issue Date: 5/12/2017
Expiration Date: 11/8/2017
PROPERTY ADDRESS:
Address: 335 10TH ST
RE Number: 170075 0000
PROPERTY OWNER:
Name: AF AB VENTURE LLC
Address: 800-C THIRD ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 11 -S F1 - 3 1-64. - 0 )
Ph (904)247-5826 Fax (904) 247-5845 6, 9_ 1- --O(D 11—
,TOB ADDRESS: 33C 1 vf'` `J�t�r' PERMIT# /7- Y7g
SEA INFORMATION REQUIRED ON ALL PERMITS 17t AMPS 210 VOLTS / PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
-Residential(Main) Service
0-100 amps : 101-150amps 151-200amps amps # of'Meters
Commercial(Main)Service
0-100 amps 101-1 SOamps 151-200amps amps CT Service _amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-I50amps 15 I-200amps amps # of Unit Meters
Temporary Pole 1'{b amps
SERVICE UPGRADE amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps . '150amps ; '200amps amps -CT Service_ amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
•:Swimming Pool 1.1 Sign I Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
L,Replace Burnt/Damaged Meter Can Safety Inspection i iPanel Change 1 ,OH to UG
Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for si\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 ive authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. n r
Property Owners Name °1ST / J)11t"SoN Phone Number_ .. Z.
Electrical Company 'v1'sht t (U Office Phone_21:17- IT Fax �`L"{-i-")t -t3
Co. Address: J" F I1 (3v; `1'^ City t d:N. State R. Zip 32Z�0
License Holder(Print): Gv' - KA(1 — State Certification/Registration # F121301 ZSZ 3
Notarized Signature of License Holder
Tracey McCue_ N RymoueM°n Sworn and subscribed before me this day of a 20
'� ND'TAitY moue
'• ,,. )1 STATE°F"MA Sicam,MVOgnature of Notary Public �
• .• Expires 11/12/2017
Cash Register Receipt Receipt Number
911 City of Atlantic Beach R1542
.9;319
DESCRIPTION DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $94.00
ERES17-0017 Address: 335 10TH ST APN: 170075 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R1542 $94.00
Date Paid: Friday, May 12, 2017
Paid By: KNIGHT ELECTRIC LLC
Cashier: CT
Pay Method: CREDIT CARD 041927
Printed: Friday, May 12, 2017 3:19 PM 1 of 1 f
TWO T