1644 W Park Terr electrical permit CITY OF ATLANTIC BFACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 413M FOR NEXT DAY INSPECTION: 2,47-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0027
Description: REPAIR-24 FIXTURES
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 1644 W PARK TER
RE Number: 172020 OJ64
PROPERTY OWNER:
Ham: SCOTT R GRAMLING
Address: 1644 PARK TERRACE W
ATLANTIC BEACH, FL 32233-5610
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 1 ITH AVE CIA 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.
CITY OF ATLANTIC BEACH
Boo Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 fax(904)247-5845
JOB ADDAM: PAde_' f,��pCC_ \Z
�L /I- 3�M
jKA INFORMATION REQUIRED ON ALL PERM]TS __,g_WAMIPS — 9V�VOILTS� PHASE
VALVE OF WORK S_
NEW SERVICE El O"orlaxial Underground 0 Underground UP Pok
Clibasulterfigill(Main)S�kt
;A-100 strips 101-150amps 15 1-200amps amps 601'Miderg—
,ComassenXIIII(Maill)SOMICt
1 0.100 amps 101.150arraps 151-200amps amps CT Service_amps
Conductor Type_ Sin—
.,frialti-Foraily(Main)Sermim ""'i"Ampe 0,"ni,Mem
� (",00 amps t'"'O"
Tessigicassny Page amps,
SERVICE UPGRADE —amps; CT Samicty amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC-)
too amps 150S.Ps 200amps _____.amps CT Semi" amps
ADDITIONS.REMODELS REPAIRS,BUILD-OUT%ACCESSORY STRUCTURE%ETC.
Outlendswitches: :__��-30fimps 3 1-I i0amps 10 1.200#mps
Appliances: ----0-30*mps —31-100amps —101.20HDamps
A/C Cimuits; ____9-60amps 61-100amps
Heincircults: #circAits @ kw
Number of Lioting Ouirdis, Including ri—MuTer. 24
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Deunaors_Qty Transformers_KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 susts of plans)
Qty—volwarmlys— VALUEOFWORKS
REPAIII&MISCELLANEOUS
.�.Replace Burat/Damaged Meter Can Safety Inspection Panel Change OH to UG
]Other; .1,7 - X"e-- -3 to 4 a-
Perron twoomm vouldwok does..,comaxerm within a sla rawath Period or work is vuspeadod or==f&six earth, I hereby offlify thas llave
read this siodickleet ask!knew the have to be Ina;sarl coffee. All provisions of laws md artlessness governing this work will be oornplisol with whether
he"iflexi� ma me permit lods not give minority to vialm,the provisions of my oau,r�we or luesi law regulation construction or as,pftibramex,of
oensuxanion�
Property Owners Name Phone Numilber
Flectrical Cmapany K.
4:A r, XL- _LzL�Office Phone Y—Fax !zV7'feu
Co.Addresic 40t 11""w City 5q- U state A zip Tzzsa
Lim..Rokun,(Print): Certification/Reigistrationlig j�jl?170IZU?
Notarized Signature ofLiveruse Holder
Sworn and submiribed beftim day a
Signature of Notary Public
AWAIL TIWWPADONPSdM
WTAKY PUSIX
STATE Of FIMRIDA
C"wOFFOWM
qViten,11112MMY
Cash Register Receipt Receipt Number
City of Atlantic Beach R1631
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK 573.40
ERES17-0027 Address: 1644 W PARK TER APN: 172020 0164 $73.40
$69.40
ELECTRICAL
W
ELECTRICAL EASE FEE 455-0000-322-1000 0 :�:�$65'5.W
EUEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $14.40
STATE SURCHARGES S4.D0
STATE DBPR SURCHARGE 455-0000-208 0600 0 $200
w S2.00
STATE DCA SURCHARGE 455.0D00-208-0700
TOTAL FEES PAID BY RECEIPT: R1631 $73.40
Date Paid: Friday, May 26, 2017
Paid By: KNIGHT ELECTRIC U.0
Cashier: BA
Pay Method:CREDIT CARD 7
or
Printed:Friday,May 26,2017 2:50 PM 10fl
CM OF ATLANTIC BEACH
600 SEMINOLE RD
ATLANTIC BEAC,R.32233
05�26/2017 14:49DS
CREDIT CARD
VISA W
Card# WD00=5045
SEQ#: 7
Bm#: 373
INVOICE 7
ApRoval C& 034910
6*mdw: mmi
mwe: Onlim
9
�50
0'
4 5
373
7
34910 1
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Tix hmnt $0.00
Ord Code: M
ShE AMOUNT PA
CUSTOMER COPY