707 Selva Lakes Cir ERES18-0356 Y ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
n CITY OF ATLANTIC BEACH ERES18-0356
800 SEMINOLE ROAD ISSUED: 10/24/2018
ATLANTIC BEACH. fL 32233 EXPIRES:4/22/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicableto 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.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUEOFWRORK:
707 SELVA LAKES CIR ELECTRICAL RESIDENTIAL ELECTRICAL- 12 FIXTURES $600.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172027 5870 SELVA LAKES UNIT 03
COMPANY: ADDRESS:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS:
LEVIN LEON YALE 707 SELVA LAKES CIR ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000322-1000 13 $7,20
ELECTRICAL BASE FEE 455-0000-32210M 0 $5500
STATE DBPR SURCHARGE 455-0000-2080200 0 $2.00
STATE DCA SURCHARGE 4550006208-0600 0 $2.00
TOTAL:$66.20
Issued Date: 10/24/2018 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 GR6S(g -o5sfcD
JOB ADDRESS: 70 7 Se IVt, /4 & C ,-i)C _PERMIT# RES /ff O 33o
JEA INFORMATION REQUIRED ON ALL PERMITS 109 AMPS 0/0 VOLTS PHASE
VAGUE OF WORKS 6Uo-`
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential(Main)Service
00-100 amps 1101-150amps 0151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
1:10-100amps 6101-150amps 0151-200amps ❑ amps ❑CTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps E1101-150amps ❑151-200amps ❑ amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps ❑150amps 0200amps El-slaps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw/a
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA UMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAHLWMSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change f10H to UG
❑Other:
Permit becomes void if work does not commence within a six month puind or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be tone 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 pedomiaoce of
construction. r6/ ( C
)LC;Owners Name PON to (-ey Phone Number 07 — (
Electrical Company Kdr�l, r L�1,r-1 C LLL Office Phone 2Y?- 988V Fax
,hy,R� II ft' JAL X11 State}L Zip ?7-Z
Sd
Co.Address: City
License Holder(Print): STedT S e Certification/Registration#
Notarized Signature of License Holder
Swoon and subscribed before is f 20
GINMONTOW WPERGER Signature No Public
MYC P GER 61 tire o1�
EXPIRES'.October 6.N19
' aon�f Thn Wlery Pub4[Uvknnan