1067 BEACH AVE ERES19-0087 ELECT PERM s
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH ERES19-0087
8
ISSUED: 3/15/2019
00 SEMINOLE ROAD
s >r ATLANTIC BEACH. FL 32233 EXPIRES: 9/11/2019
MUST CALL INSPECTION • • • 1 + BY 4 PM FOR + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' D+ BUILDING
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 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:
1067 BEACH AVE ELECTRICAL RESIDENTIAL 100 amps/240 volts/single- $800.00
phase-new feeder & fixtures
TYPE OF jBUILDING USE
ZONING: :D •
CONSTRUCTION-:-- GROUP:
170267 0000 ATLANTIC BEACH
COMPANY: ADDRESS: '
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
• ADDRESS:
MANDARIN EMPORIUM 2240 MAYPORT RD #7 ATLANTIC BEACH FL 32233
INC
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 AIR CONDITIONING CIRCUITS 4SS-0000-322-1000 0 $5.00
ELEC HEAT 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 4SS-0000-322-1000 18 $10.80
ELEC REPAIRS AND MISC 4SS-0000-322-1000 0 $35.00
Issued Date: 3/15/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
rl' CITY OF ATLANTIC BEACH ERES19-0087
800 SEMINOLE ROAD ISSUED: 3/15/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 9/11/2019
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$117.80
Issued Date: 3/15/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
_ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: t7 C t ac
JOB ADDRESS: ! f� � C h :�yc PROJECT VALUE $ Tog
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPSVOLTS PHASE
NEW SERVICE: Overhead Underground Underground up Pole
-Residential (Main) Service:
^0-100 amps 101-150amps i151-200amps ❑ amps #of Meters
nCommercial (Main)Service:
❑O-100 amps o101-150amps ❑151-200amps ❑ amps r CT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps r_i101-150amps x1151-200amps Fl—amps #of Unit Meters
TEMPORARY POLE: _ amps
] ] SERVICE UPGRADE: - amps CT Service amps
D NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
L00 amps 150amps 200amps __amps Ci 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: 1 0-60amps 61-100amps
Heat Circuits: _# circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign oSmoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Oty.- ------volts/amps_ --- –
[ ] REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can 1-ISafety Inspection :Panel Change fIOH to UG
i Other: Updated 10117118
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: �'�S �I�fir u+t�s Phone Number:
Electrical Company: Mt�>~ NCI�2tL- LLL Office Phone: ��7- ��S is Fax:
Co.Address: �o,� %i �Ja tt �^ City: State: /. zip: 7'2'7d
License Holder: (C LW I State Certification/Registration#:
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this N—day 2oLq,i the t to of Florida,County of
Signature of Notary Public
,P4' notary Pubiic State of Florida
(A Personally Known OR( ]Pr duced Id n fication 3..:
� Commission N GG 212546
Type of Identification: _ _o►n..: My Comm.Expires May 31,2020
Bonded through National Notary Assn.
y
7Cash Register Receipt Receipt Number
IN „r
City of Atlantic Beach I I
DESCRIPTION •
AID
PermitTRAK $117.80
ERES19-0087 Address: 1067 BEACH AVE APN: 170267 0000 $117.80
ELECTRICAL $113.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELEC HEAT 455-0000-322-1000 0 $8.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 18 $10.80
FIXTURES
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 FEES PAID BY RECEIPT: R8441 i
Date Paid: Friday, March 15, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 2554
Printed: Friday, March 15,2019 11:26 AM 1 of 1 cop