333 2nd ST NEW ELEC SERVICE t1 CITY OF ATLANTIC BEACH
s f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
D INSPECTION PHONE LINE 247-5814
69
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2356
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 10/6/2015
Expiration Date: 4/3/2016
PROPERTY ADDRESS:
Address: 333 2ND ST
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: KNIGHT ELECTRIC LLC
Address: 908 S 11TH AVE QA MARK STEVEN KNIGHT
Phone: - -
FEES:
State Elec DCA Surcharge $2.00
New Single Family Electrical $0.00
Trade Permit Base Fee $31.00
State Elec DBPR Surcharge $2.00
Total Payments: $35.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 I �.>- ELE C -Z 3 S�P
Ph(904) 247-5826 Fax (904) 247-5845 *�
JOB ADDRESS: �3 ftk F PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Ott' AMPS 2'IV VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground [E Underground up Pole
—Residential (Main) Service �
`-0-100 amps ❑101-150amps V 151-200amps amps #of Meters
Commercial(Main) Service
❑0-100 amps 1110 1-1 50amps ❑151-200amps ❑ amps ❑CT 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 - CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7 100 amps ❑150amps ❑200amps ❑ amps ❑CT 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: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
71 Swimming Pool ❑ Sign -]Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can [I 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 any other state or local law regulation construction or the performance of
construction.
Property Owners Name `J%c US 51 Phone Number
Electrical Company _ M�h r tZ �� L�L' Office •P hone �MV Fax 2`�` �03
14
Co.Address: �d l �� City ek State f/ Zip 'Ta2-0
License Holder(Print): c✓L �w.f T State Certification/Registration# 021 W 2 5'7
3
Notarized Signature of License Holder _
SHERRI L.STEPP orn and subscribed before me this _day of ( 2015
9` - Notary Public-State of Florida
' My Comm.Expires May 31,tots gnature of Notary Public
Commission#EE 203994
'% Bonded Through National Notary Assn.