57 DONNER RD - ELECTRIC NEW SERVICE r1rA.N•fie4
: CITY OF ATLANTIC BEACH
Yt` x
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: ERES17-0195
Description: NEW SERVICE- 150 AMP, 240 VOLT
Estimated Value: 0
Issue Date: 11/28/2017
Expiration Date: 5/27/2018
PROPERTY ADDRESS:
Address: 57 DONNER RD
RE Number: 172064 0010
PROPERTY OWNER:
Name: 51 DONNERCDLLLC
Address: 355 11TH ST
ATLANTIC BEACH, FL 32233
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
Ph(904) 247-5826 Fax (904) 247-5845 E-,-"R (" —0195
JOB ADDRESS: aon/l er PERMIT# Re5 f7-WO
OA IINiFORMATION RE 0 TOWED CZ kThilPERMiITS 1( S a ($1 VOLTS
•MP14 It P1IAS+
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground [1—Underground Underground up Pole
�iesidential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign CI Smoke Detectors Qty CI Transformers KVA LI Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH 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 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 any other state or local law regulation construction or the performance of
construction.
Property Owners Name U163 1)-n`ber5&h/ Phone Number
Electrical Company Krvicin r - 2t C- t_l.L Office Phone -fl- Fax
Co.Address: �U Ii P(' �"P4 5'i `k City r( - ')GL. State Zip
License Holder(Print): J� 14* State Certification/Registration# (G►70121-27
Notarized Signature ofLicense Holder l
'ON'cl':cL`sP``'`'E'' Before me this Zv day of � ��_�� 0
�•;,,; i_._. .;= MYCO�YIV�ISSION;FF 924951
' . EXPIRES:October 6,2019
! ' Bonded Thru Notary Public Under:rdter f Signature of Notary Public J