518 SELVA LAKES CIR ELEC PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J
rf, CITY OF ATLANTIC BEACH ERES19-0033
Vr 800 SEMINOLE ROAD ISSUED: 2/1/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/31/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK • • ' TO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF BEACH CODEOF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASECAREFULLY.
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:
200 amps/240 volts/single-
518 SELVA LAKES CIR ELECTRICAL RESIDENTIAL phase - elec for kitchen $750.00
remodel
TYPE OF
ZONING: :D •
• • GROUP:
172027 5600 SELVA LAKES UNIT 02
• ADDRESS:----
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
• , ADDRESS:
Tara Harris Josephs 518 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 • •
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 APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 4SS-0000-322-1000 10 $6.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:2/1/2019 1 of 2
Electrical Permit Application **ALL INFORMATIONHIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY 15 REQUIRED.
�cj 800 Seminole Rd, Atlantic Beach, FL 32233 E S t1— cc)
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: -7 15 3��4
JOB ADDRESS: S�l max' kale-s (! V i(P__ PROJECT VALUE $ 7
JEA INFORMATION REQUIRED ON ALL PERMITS:2(-1) AMPS '!& VOLTS�_PHASE
NEW SERVICE: Overhead LUnderground Underground up Pole
Residential (Main)Service:
0-100 amps ❑1014SOamps o151-200amps ❑ amps #of Meters
Commercial(Main)Service:
0-100 amps ❑101-150amps o151-200amps ❑ amps iCT Service amps
Conductor Type Size
Multi-Family(Main) Service:
0-100 amps ❑101-150amps -:151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: amps -1CTService amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps I200amps amps i�CTService amps
[F—A ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: '4)' 0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw I
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign :_:Smoke Detectors _(Qty) ❑Transformers KVA Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection I]Panel Change 10H to UG
Updated 10/1 /18
❑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 any other state or local law regulation construction or the performance of
construction.
Owner Name: ��n `jUS�p� Phone Number:
Electrical Company: K+tlf (nr LLC, C �C.0 Office Phone: 9G 247 Fax:
Co.Address: Tot (I f` *.I-- ACV{-J` City: ���� �/`� State: tt Zip: 727-W
License Holder: ��✓L Kt"' �� State Certification/Registration k: (=21
Notarized Signature of License Holder r
The foregoing instrument was acknowledged before me this 4, day of'304" ,20A in the State If Florida,County of
Signature of Notary Public
J` ELIZABETH ANNE LANGILLE
y Notary Public Slate of Florida
Commission p GG 284144 [ Personally Known OR[ ] Produced Identification
My Comm.Expires Dec 13,2022 y e of Identification:
Bonded through National Notary Assn.