1769 Atlantic Beach ERES18-0237 EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTic BEACH
Elect ic power is requested now under the c( diti.es and terms o F this but 1) executed Agmernem&R,icase
Job A ddiness: - ,)
I I-, �'I�ct , Or
Pe....it No i (_� Service Type(Circle One) OverheacV,Undergroundl
We�the undersigned(cartel Contractor and Electrician,understand and agree:
1. 'Early power- is �Lmcl) for our construction grivenuence, it is not required by Codes and d0cS
substrate[or Furst repections,or the C/O Cant Icate of OccupaocyTITiat must be issued betore occupancy.
and as such Is at the discmdon of the Building Official.
2. fire City of Atlantic Beach will make a special inspection prior to the early power energizing All rough
frelveLfiias;must have prior Approval.including faster bavc connections.
3 Occupancy or use of the ne,v construction before a tunnel ('10 constitutes fraudulent use of the earl
cicct,,c service, Such action is c,�pnmbly prohibited anal penalized by T1w City at Atlantic Hc2li
Ordinances, A violation ofthm A,�cmcnt Arall result in a request for prompt removal ofelocure service
after a twenty-four hour notice.
4. 'Early Pa.""release authority it,the Electrician anchor the Contractor and Most act occur before;
a I ment.devicesarid ixtures am installed(or blanked on)safety.
b, Nna is complete kv ith breakers and cover,and I labeling required at final inspection).
c' Service councelion and grounding is complete.
d, The electric system has safely paRred, through electrical the,It.
c� mcder=is pimmanamilvarked with address.
I. Temporary address num m cfisfpla�ed(Pernumem numbers are required for CIO).
5. 1 his fully completed form is to be subirritovil to the Building Department by rand.nual or ba.,.
6. Future such Agreements will not be accepted from these who violate anyone of the above items,
,TO /I a,,
CONIRAC R 2,11 1 DATE
PRrNT NAME /0� 'S�vy, 23
FlIECTRIFIAN �(V
DAIrE
PRl\I NAME (V,r
800 Serninole Roarl.A,ls,,t,,Bc.vh FI-3,2213,
Phone 1904)247-5326 F..:(904)247-SS45 hap, .—�.brry reviscd Of 30 0
Cash Register Receipt Receipt Number
19 City of Atlantic Beach R5719
DESCRIPTION ACCOUNT
PernritTRAK $188.60
ERESIS-0236 Address: 225 SHERRY DR APN: 169804 0000 $59.60
ELECTRICAL $55.60
ELECTRICAL BASE FEE 455-0000-322-: $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-OODO-322-10M 50.60
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE F7T5 0 00 1 D 52�00
STATE DCA SURCHARGE 451-100�0-208-1'100 1 0 $2m
ERES18-0237 Address: 1769 ATLANTIC BEACH DR APN: 169505 1475 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 1 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-10M 1 200 1 $70.00
STATESURCHASIGIES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0
STATE DCA SURCHARGE 455-0000.208- $2.00
TOTAL FEES PAID BY RECEIPT: R5719 $188.60
CM Of ATLANTIC BEACH
800 EVINCE RD
ATLANTIC BEAC,R.32233
07/1B2018 08:42:46
CREDIT CARD
VISA SALE
Cad xxxxxxX=5060
SEQ 9; 1
BM#: 650
INVOICE I
Approval Code: 074254
Enty*M: Manual
MDde: Cnlkx
Tax knoud: $0.00
Card CD& M
Date Paid;Wednesday,July 18,2018 SAUE AMOUNT
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA CUSTOHER COPY
Pay Method:CREDIT CARD 1
Printed:Wednesday,July 18,2018 8:45 AM 1 Of 1
CITY OF ATLANTIC BEACH
P 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: ERES18-0237
Description: 200 Amp 240 Volt Single Phase New Service
Estimated Value: 9200
Issue Date: 7/18/2018
Expiration Date: 1/14/2019
PROPERTY ADDRESS:
Addr�: 1769 ATLANTIC BEACH DR
RE Number. 1695051475
PROPERTY OWNER:
Name: ADCOCK BRIAN J
Address: 14560 ISLAND OR
JACKSONVILLE, FIL 32250
GENERAL CONTRACrOR INFORMATION:
Name:
Address;
Phone:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
JACKSONVILLE BEACH, FIL 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 Mes
JOB ADDRESS: N.A"L C��, 97VY- PFRMIT# jl� `67,37
0016
JEA INFORMATION REQUIRED ON ALL PERMITS _200 AMPS VOLTS PHASE
VALUE0FW0P.K$ A 12LYZ
NEW SERVICE El Overhead ffUnderground Underground up Pole
oResidentiall(Main) Service
00-100 amps E 101-150amps LW61-200amps -------------amps #of Meters
0 Commercial(Main)Service
00-100 amps El 101-150amps Ll 151-200amps ------amps I I CT Service amps
Conductor Type Size
DMulti-Family(Main)Service
00-100 amps 0101-150amps D 151-200amps Jamps #of Unit Meters
ElTemporary Pole Damps
SERVICE UPGRADE F Cr Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E]100=ps 0150amps E1200amps 0---amps DCTService_mps
ADDITIONS,REMODELS,REPAIRS,BUILWOUTS,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
[1SwimmingPool [] Sign F1 Smoke Detectors_Qty [Transfianners_KVA IM0101511P
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps— VALUE OF WORK$
REPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meter Can EJ Safety Inspection OPmel Change [1OHtoUG
110ther:
Perrot becones,void if work do.not cornmence within a six month period"work is suspended or abandoned for six months. I heretrycertify that I have
read this application and know the sarne to be true and connesur All provisions of laws and ordinames governing this work will be complied with whether
speciflod or not. The peronit does not give authority to violate the provisions of my other state or lo�al law regulation cmatroaction or the patfornmus,of
amstoactio..
Property Owners Name Sf-'qw w0c Phone Number
-rmr�r-Et;tTP1L' Office Phone X7-18j`1 ax -jf43
Electrical Company L-L-c— _LqL --
Co.Address: f9 il"' Ak�- �-4� City 31ti- Statefl zip '5270
Ucense Holder (Print): �If Vr, k(lf State Certification/Registration#_W13611:513