379 Skate Rd electrical permit j yViy-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r 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: ERES18-0118
Description: 150 amps/240 volts/single-phase- install 4 outlets & 12 fix
Estimated Value: 400
Issue Date: 4/13/2018
Expiration Date: 10/10/2018
PROPERTY ADDRESS:
Address: 379 SKATE RD
RE Number: 171671 0000
PROPERTY OWNER:
Name: SALTY PROPERTIES LLC
Address: 1015 ATLANTIC BLVD#79
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 ��(�S ( � D t T
JOB ADDRESS: 37g 5tA,
, Pc( PERMIT# k51417-002Z
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS PO VOLTS PHASE
VALUE OF WORK$ 40?-)
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
❑0-100 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 L amps OCT Service amps
ADDITIONS,REMODELS,PPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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: !I
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$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH 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 Name1 �/ Phone Number
Electrical Company ttilf�r LLMVIC- Office Phone 247—/ Fax 2 7WO
Co.Address: r 11 �wl'L— City I#*. &n State �(• Zip 2 2�
License Holder(Print): e✓e bv( State Certification/Registration#
Notarized Signature of License Holder
Before me this day of rt 20
JENNIFER JOHNSTON
MY COMMISSION#GG 042984
EXPIRES:October 27,2020 Signature of Notary Public -
°.. . • Bonded Thru Notary Public Underwriter
s
JCash RegisterReceipt • Number
r
City of Beach
DESCRIPTION • CITY PAID
PermitTRAK $68.60
ERES18-0118 Address: 379 SKATE RD APN: 171671 0000 $68.60
ELECTRICAL $64.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $2.40
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 12 $7.20
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
• R4769 $68.60
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,�L 32233
)4 13 2018 09:58.01
CREDIT Cki l)
VISA SALE
::ARD ; .(XXXXXXXXXXX5045
[NVOICE 0002
3EQ;: 0002
Hatch;: 000116
Approval Code: 085806
:nty Method: Manual
Mode: Online
Tax Amount: $0.00
.ard Code: M
SALE AMOUNT $68.60
CUSTOMER COPY
Date Paid: Friday, April 13, 2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 085808
Printed: Friday,April 13,2018 10:02 AM 1 of 1
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