325 4th St ERES19-0342 13 Fixtures „,,, ELECTRICAL RESIDENTIAL PERMITPERMIT NUMBER
ERES19-0342
.� CITY OF ATLANTIC BEACH
V~ 800 SEMINOLE ROAD ISSUED: 12/20/2019
°�s�>r ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA 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:
325 4TH ST ELECTRICAL RESIDENTIAL ELECTRIC FOR ADDITION 13 $6500.00
FIXTURES
TYPE OF 1 REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: F NUMBER: GROUP:
169833 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
KLINE CHRISTOPHER JOHN 325 4TH ST 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.
1
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 13 $7 80
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:$66.80
Issued Date: 12/20/2019 1 of 2
rclApir,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
`j CITY OF ATLANTIC BEACH ERES19-0342
f,v800 SEMINOLE ROADISSUED: 12/20/2019
x ATLANTIC BEACH. FL 32233 EXPIRES: 6/17/2020
Issued Date: 12/20/2019 2 of 2
A
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
-./:, City of Atlantic Beach Building Department GRAY IS REQUIRED.
NW 800 Seminole Rd,Atlantic Beach, FL 32233 GR6-J l i - (. 4 Z
Phone: (904) 247-5826 Email
x �t Klima IFES t 1�= �
j�
JOB ADDRESS: _.- c"3 C1 1� St_ _ PROJECT VALUE$ G ESQ(
JEA INFORMATION REQUIRED ON ALL PERMITS: (SC) AMPSt-f( VOLTS -l_PHASE
L..; NEW SERVICE: Overhend Underground ,Underground up Pole
._Residential(Main)Service:
1)0-100 amps •:101.1SOamps i•1S1.200amps __amps R of Metes
,'Commercial(Main)Service:
c0-100 amps : 101-1S0amps f:1S1.200amps ____, amps riCT Service______amps
Conductor Iype Size
.'Multi-Family(Main)Service:
30.100 amps n101-150amps rr151.200amps amps ii of Unit Meters__
❑TEMPORARY POLE: amps
Li SERVICE UPGRADE , amps ;CT Service amps
❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
I 100 amps 1%Damps !.?OOamps ___ amps :CT Service__ amps
154 ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches' q 0.3.Damps 31 100arnp 101.200amps
Appliances _- O.30amps __ 31-100amps _101•?O0amp,
A/C Circuits: O.60amps 61-100amps
Heat Circuits: It circuits to kw
Number of lighting Outlets,Including Fixtures: Y_
Cl OTHER ELECTRICAL PROJECTS:
i.Swimming Pool Sign 'Smoke Detectors_ f(11v) ''Transformers KVA .'Motors _HP
I I FIRE ALARM SYSTEM(Requires 3 sets of plans).
Oty volts/amps
Li REPAIRS/MISCELLANEOUS: -
:;Replace Burnt/Damaged Meter Can _Safety Inspection Panel Change aOH to UG
uOthet- _ 10/0/!e
-"paw,/
Permit becomes void II work does not Commence wdhln a s,a month;wood n,work Is suspended a 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 guvermeg nm work will be complied with whether
specibed or roe the perm.'does not gry,:.,,thorny 10 v oiale int.pro Visiones of any other state or lora.law regulation construction cr the performance of
constructor.
Owner Name. C k1C1 _414. n Phone Number
Electrical Compaanpny. 1"C11"-1+y�,�,.. .erlY-IC Office Phone: r4--LEI.-. )AN-I far. e� ....lay
Co Address ___.3_ .__u 'a^1JL ', City: �l f? SL Zip ,-3,..).)5(..
'1 state
license Holder: ('QP'eS 1 �e els. •ak1, State Certification/Registration it 'e
Pl 1 B Q 125 3
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me th, d d ..
1.a>r .,2f1 �,n the State Flnrsda.Lo
Signal re of NotaryBtic
ersonally Known OR) )Produced entN cat,un ----
tF Type of fdentificator
Tram/y Poulson
s ' NOTARY PUBLIC
� STATE OF FLORIDA
. 1t CornfTTIF GG212743
..�.i..
,1 Expires 4/30/2022
ri !f
411
JsCash Register Receipt Receipt Number
;-.!ysi
_r
City of Atlantic Beach R11349
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $66.80
ERES19-0342 Address: 325 4TH ST APN: 169833 0000 $66.80
ELECTRICAL $62.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 13 $7.80
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: R11349 $66.80
Date Paid: Friday, December 20, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 12
Printed:Friday, December 20,2019 3:55 PM 1 of 1