1935 Francis Ave ERES18-0276 safety inspection iSI"1'y rlu
CITY OF ATLANTIC BEACH
c
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: ERES18-0276
Description: 150 amps/240 volts/single-phase-safety inspection
Estimated Value: 200
Issue Date: 8/24/2018
Expiration Date: 2/20/2019
PROPERTY ADDRESS:
Address: 1935 FRANCIS AVE
RE Number: 172104 0020
PROPERTY OWNER:
Name: MILLER WAYNE
Address: 13578 LAS BRISAS WAY
JACKSONVILLE, FL 32224
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.
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 2475826 Fax (904)2475845
JOB ADDRESS: �1 6 n c t S ALA- PERMIT
JEA INFORMATION REQVIRED ON ALL PERMITS AMPS VOLTS r PHASE
VALUE OF WORK S r
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Ll Residential(Main)Service
J0-100 amps ❑101-150amps i 151-200amps amps #of Meters
CDCommercial(Main) Service
i..JO-100 amps 01101-1,50amps J 151-200amps 1..1-amps L.:.ICT Service amps
Conductor Type Size
'Multi-Family(1Vlaim)Service
:JO-100 amps 101-150amps 151-200amps `] amps #of Unit Meters
I..iTemporary Pole i_1 amps
SERVICE UPGRADE 6 i_amps .1 CT Service amps
NEW FEEDER,(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I-100 amps 17'150amps 1720owups C:I 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 t kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL,PROTECTS
F-1 r Sign i-1 Smoke Detectors_Qty (.!Transformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
CReplace Burnt/Darnaged Meter Can ;✓5afeiy Inspection 'Panel Change :7 OH to UG
❑Other:
Permit becomes void ifwork 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 compiled 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 �JAyne, 1h.11ef" Phone Number
Electrical Company �r✓r(�r L - C_ Office Phone _�'{7- 1 1�� Fax
Co.Address: f` Cit t . 5U'
r� y ItX State
fj, Zip e?:?-z_
License Holder(Print): RV State Certification/Registration#1~ eIR 7017 2
o r z i m older
SHERRI L STEPP
Noloy Public •Slate of Florida Sworn and subscribed before me his _d 0 U J
`•+ 4 »}•- Commission # FF 994182 20
}•";, QY= My Comm.Expires May 31,2020 Signature of Notary Public
�r4 OF 94�•'
++ Bonded through National Notary Assn.
141 Receipt Number
Ak Cash Register Receipt
City of R6137
DESCRIPTION ACC• QTY PAID
PermitTRAK $109.00
ERES18-0276 Address: 1935 FRANCIS AVE APN: 172104 0020 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL 'AID BY RECEIPT: R6137 $109.00
CITY OF ATLANTIC BEACH
800 SENINOLE RD
ATLANTIC B--AC,FL 32233
08/2412018 08;37:55
CREDIT CARD
VIS;;,SALE
Card# 1 VXO(XXXXIO(5060
SEQ#: 1
Ba6di#: 677
INVOICE 1
Approval Code; 073803
Entry Method; Manual
Mode; Online
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $109,00
CUSTOMER COPY
Date Paid: Friday, August 24, 2018
Paid By: KNIGHT ELECTRIC LLC
Cashier: BA
Pay Method: CREDIT CARD 1
/�%
Printed: Friday,August 24,2018 8:39 AM 1 of 1 In
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