51 DONNER RD - ELECTRIC j L\/7 ,
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�'� �'- s� CITY OF ATLANTIC BEACH
�,- z• ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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ass >''' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0003
Description: NEW SERVICE - 150 AMPS, 240 VOLTS, SINGLE PHASE
Estimated Value: 0
Issue Date: 1/5/2018
Expiration Date: 7/4/2018
PROPERTY ADDRESS:
Address: 51 DONNER RD
RE Number: 172064 0000
PROPERTY OWNER:
Name: 51 DONNER LLC
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$7,500.
.r.41.,L'Al,1 KiI,AL r L'Kivu 1 tirrLll,A 1 IVP)
CITY OF ATLANTIC BEACH
' 800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 RES( g - 0003
JOB ADDRESS: SI /Anne.- rd PERMIT# 5 /7-CJCS(
JEA INFORMATION REQUIRED ON ALL PERMITS /1 0 AMPS 02. U VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground EJ Underground up Pe'-
Residential
e"Residential(Main)Service
0-100 amps J 101-150amps 451-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps [_? amps .CT Service amps
Conductor Type Size
;Multi-Family(Main)Service
[.i0-100 amps : :10.1-150amps 1-1151-200amps amps #of Unit Meters
['Temporary Pole i:' amps
SERVICE UPGRADE amps 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 Sign 'Smoke Detectors_Qty Transformers KVA Motors_ hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can • '_i Safety Inspection 'Panel Change OH to UG
• Other:
Aussow
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. rr
Property Owners Name ( S fiMLt rr CAV Phone Number 30',207
Electrical Company KWt Okr Office Phone 011{7-4 V Fax 2q7-9-`b k7
Co. Address: of ((f�, Att� s T ` City TA- State f(- Zip 3Z7 SL
License Holder(Print): i:et Vt Arir- State Certification/Registration# aim 2C22
Notari edSi,nature o License Holder �}
++'Y; - SHERRI L STEPP L/ 04 } 20
Before me this .' dayof V �"l.�1 /CCCJJJ
� � notary Public State- o}Florida �
•+ Commission k FF 994782
%?; ' ` My Comm.Expires May 31.2020 Signature of Notary Public L '
.tet a:
'Wt Bonded through National Notary Assn.
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Cash Register Receipt Receipt Number
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' City of Atlantic Beach R3842
DESCRIPTION I ACCOUNT QTY I PAID
PermitTRAK $238.00
ERES18-0002 Address: 53 DONNER RD APN: 172064 0000 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ERES18-0003 Address: 51 DONNER RD APN: 172064 0000 $119.00
ELECTRICAL $115.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00
ELEC MINIMUM FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3842 $238.00
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Date Paid: Friday, January 05, 2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA
Pay Method: CREDIT CARD 5
Printed: Friday,January 05, 2018 2:29 PM 1 of 1
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