1785 Beach ERES18-0415 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0415
u ISSUED: 12/13/2018
ATLANTIC
800 ROAD EXPIRES:6/11/2019
C BEACH.
EACH. FL 32233
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1785 BEACH AVE ELECTRICAL RESIDENTIAL $300.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
NORTH ATLANTIC BCH
169677 0000 U NIT 1
COMPANY: ADDRESS:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
■ ADDRESS:
PIATAK THOMAS 1897 BEACH AVE 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 c ntalner company must be on City approw:d list. Container cannot be placed on City rightof-way.
MMEo
ELECREPNRSANDMISC r :. c n . ... ".. . .
455OOW322-10m 0 $35A0
ELECTRICAL BASE FEE 455-0000-322-IOm 0 $55.00
STATE DBPR SURCHARGE 455-0000-20&0700 0 $2m
$TATEDCASURCHARGE 455-0000-208-0600 0 $2G0
TOTAL:$90.00
Issued Date:12/13/2016 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph�� II
(9�0�4)24//7�-58266�Fax (904)247-5845 p
JOB ADDRESS: I�OJ 171RLy1 PERMIT# O O
JEA INFORMATION REQUIRED ON ALL PERMITS ,CY/ AMPS 9qO VOLTS I PHASE
VALUE OF WORKS 30-01�_
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps I. amps #of Meters
❑Commercial(Main)Service
E:10-100amps ❑101-150amps ❑151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 101-150amps ❑151-200amps ❑ amps #of Unit Meters_
[]Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps ❑150amps 11200amps ❑ amps ❑CTService amps
ADDITIONS,REMODELS,REPAIRS,BUHJ)-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty '..]Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPA /MISCELLANEOUS
eplace Burnt/Damaged Meter Can El 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 my other state or local law regulation construction or the performance of
construction. R L
Property Owners Name I IU'I °` Phone Number
Electrical Company /) (Clefshf L26ZYtL.Pt� L-LL Office Phone 117 - 7fliq Fax 2yZ-JW
Co. Address: Ode (/w AIR Su.I-I City J? c. ", State 9. zip 2-Z-V
License Holder(Print): 7! � r jjh C State Certification/Registration# L�702X-23
Notarized Signature o Licetlsello[der �
:* "., JAMIE o.sums Sworn and subscribed before me this)"I a f I fl
Notary 20
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i;. .pc EXPIRES:SePamber 5,2022 Si afore of Not Publtc
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