1912 Hickory Ln ERES18-0264 elec for kitchen remodel permit J5�'I r�Jf llvt.
s f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
om 9 INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0264
Description: 200 amps/240 volts/single-phase-elec for kitchen remodel
Estimated Value: 2200
Issue Date: 8/15/2018
Expiration Date: 2/11/2019
PROPERTY ADDRESS:
Address: 1912 HICKORY LN
RE Number: 172020 1312
PROPERTY OWNER:
Name: WALLACE FORREST L
Address: 1912 HICKORY LN
ATLANTIC BEACH, FL 32233-4577
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.
X-JUM 4 A&U%-AL K_ZAIVII l 1ArrL1l:A I IVIN
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
!
Ph (904) 247-5826 Fax (904)247-5845 t;��S l $- 0 a(0 y
JOB ADDRESS: t9r 2 tji C'VV#-j !/�-CA� PERMIT# ftNIS-N20Y
,YEA INFORMATION REQUIRED ON ALL PERMITS 900 AMPS YO VOLTS r PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
L,Xesidential(Main) Service
0-100 amps n 101-1 soamps .:7151-200amps 1; amps # of Meters
Commercial(Malin) Service
.JO-100 amps 1i i 101-150amps U 151-200amps L amps F CT Service amps
Conductor Type Size
"*Multi (Main)Service
❑0-100 amps L 10 1-15 Oamps 07151-200amps 7 amps #of Unit Meters
Temporary Pole i-.l amps
SERVICE UPGRADE 7 amps n CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I l 100 amps 1.I 150amps i 1200amps L. amps L1CT 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: 10
OTHER ELECTRICAL PROJECTS
!Swimming Pool I Sign OSmoke Detectors_Qty (":1Transformers KVA (Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
I !Replace Burnt/Damaged Meter Can Safety inspection ;.Panel Change uO-I to UG
L..1 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 ofany other state or local law regulation construction or the performance of
construction, �` f
Property Owners Name Vv�'� A,6 t_ Phone Number
Electrical Company le,'A (('r C cz-r-M L W-C- Office Phone W 741 `/ Fax 2-27-'II V7
7-
Co.Address: _ ��g �� �. J`AoJ� City .��'� �- �• _ _ State�Zip
TZ
License Holder(Print): QVC lM State Certification/Registration# W1101 ZS;
Notarized Signature of License Holder
} SWERRI l S7EPP Sworn and subscribed before me this da of h 20�,
,� ;" '" %ry Public •stare of Florida
cion # FF 994782
�V, i,1y c., ,,,)s May 31,2020'' Signature 4f Notary Public MA
`
gond°r' .;'c^cal Notary Assn,
Register
• Receipt• • • Receipt Number
•
City
of Beach R6053
DESCRIPTION
PermitTRAK $365.00
ERES18-0263 Address: 1551 OCEAN BLVD APN: 171874 0000 $129.00
ELECTRICAL $125.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES18-0264 Address: 1912 HICKORY LN APN: 172020 1312 $73.40
ELECTRICAL $69.40
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 12 $7.20
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $7.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ERES18-0266 Address: 1870 LIVE OAK LN APN: 172020 1422 $68.60
ELECTRICAL $64.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 8 $4.80
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.80
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP18-0032 Address: 1551 OCEAN BLVD APN: 171874 0000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Date Paid: Wednesday, August 15, 2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 035940
Printed:Wednesday,August 15, 2018 3:00 PM 1 of 2