57 Donner Rd temporary pole permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0044
Description: 40 amps/240 volts/single-phase-new temporary pole
Estimated Value: 0
Issue Date: 6/19/2017
Expiration Date: 12/16/2017
PROPERTY ADDRESS:
Address: 57 DONNER RD
RE Number: 1720640010
PROPERTYOWNER:
Name: LAMBERTSON CHRISTOPHER D
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 1 ITH AVE CIA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FL32250
Phone: 9042479884
Name:
Address:
Phone: 6042479884
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 6e -1 -00
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 5-7 46rritr 90AP PERMIT N 17-- 711192
JEA INFORMATION REQUIRED ON ALL PERMITS L/9 AMPS �qo VOLTS PHASE
VALUE OF WORK I
NEW SERVICE El Overhead Underground D Underground up Pole
-Residential(Main)Service
0-100 amps 101-150amps 151-200amps 4 of Meters
Commercial(Main)Service _--amps
0-100 amps '101-150amps, 151-200=ps amps CTService amps
ConductorType_ Sim
-Multi-Familly(Main)Service
, 0-100 amps 101-150amps 151-200arnits amps N of Unit Means
Vfempsartary Pole 4LO amps
SERVICE UPGRADE - amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
� 100 drops 150amps 1 200amps amps CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,E TC.
Outlets/Switches: 0_30amps 31-100amps 101-200amps
Appliances: —0-30amps 3 1-1 00amps _101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: — N circuits @_kv,
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-Swimming Pool - Sip Smoke Detectorm_Qty Transformers KVA Motors hP
FIRE ALARM SYSTEM (Requires 3 sets of Films)
Qty—volts/amps— VALUEOFWORKS
REPAIRS/MSCELLANEOUS
Replace Bumd/Damaged Meter Can Safety Inspection Panel Change ON to UG
Other:
Permit beeearrest void if work does not coannerwo within a six month Period or we&is suspended or abandoned ror six months. I hereby sentry due I Is
read this aplication ax!keow ths:varre,to be Me and correct. All prrvisions of laws and ordinances governing this work will he ramplied!was whether
specified or not. The xxont does not give authority to violate the provisioas of any other store or[oeu law regulation construdion or the performance of
constra,tion.
Property Owners Name Phone Number
Electrical Company K'wgdA t- 6QL-EaVfe t-Le- ofricePhone 2L(7-99W Fax
Co.Address PI? 11" AAA�" 5.4_� city 1p'lc III\. State fl, Zip 5Z2C
License Holder(Print): 5-ror- Kw'clsr State CertificationtRegistration# t9130125-13
Notarized Signature of License Holder_ _1_7�
Sworn and subscribed before me this tl day of Olt.A-f- 20 1-4
turvo Notary Public t,
1�111UTRIOHIfCfl V U
"no, dn�tM
Cash Register Receipt Receipt Number
12 City of Atlantic Beach R1798
DESCRIPTION ACCOUNT Wil I bm
PermitTRAK $342.00
ERES17-0042 Address: 1067 BEACH AVE APN: 170267 0000 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 455-0000-M122 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322 1000 T50 $60.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-060D 0 $2.00
STATE DCA SURCHARGE 455 0000-209-0700 0 $2.00
ERES17-0043 Address;335 10TH ST APN:270075 0000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 10110-3 2 0 $55.00
0�
—=E
ELEC NEW SINGLE FAMILY 455 '� 22-2000 211 1 $70.00
STATE SURC14ARGES $4.00
STATE[GPR SURCHARGE 455-0000-208 $2.00
STATE DCA SURCHARGE 455-0000-20N0700 0 $2.00
ERES17-0044 Address: 57 DONNER RD APN:i 172064 0010 $94.00
ELECTRI U. $90.00
ELECTRICAL RASE FEE 5-2 -1000 0 $55.00
ELEC TEMP SERVICE :�5 22-10D0 $35.00
STATE SURCMRGES $4.00
STATE DBPR SURCHARGE "-0 '-"'0 0 $2.00
STATE DCA SURCHARGE ZOMOLS
45
TOTAL FEES PAID BY RECEIPT: R1798 $342.00
Date Paid: Monday,June 19, 2017
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA
Pay Method: CREDIT CARD 4
Printed:Monday,June 29,2017 10:47 AM 1 Of I Ir
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SALE AMOUNT
CUSTOMER COPY