353 8th St ERES21-0126 elec for private provider rj"'" � ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
,•.;
�" ERES21-
ED: 5/ 012620/2021
CITY 800 OF ATLANTICROAD BEACH
ISSU
SEMINOLE
;:t`w31}/ ATLANTIC BEACH. FL 32233 EXPIRES: 11/16/2021
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:
Elec for PRIVATE PROVIDER -
353 8TH ST ELECTRICAL RESIDENTIAL $6000.00
NEW SINGLE FAMILY HOME
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169970 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: i CITY: STATE: ZIP:
EVIE DAPPER REVOCABLE 1904 MARINER BAY BLVD FORT PIERCE FL 34949
LIVING
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT I(`
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 0 $50.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55 00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.23
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.15
Issued Date:5/20/2021 1 of 2
4, • r CICl.lfll.dl r eiiiiiL I-qJ JIILdLIVf1 HIGHLIGHTED IN
,^ City of Atlantic Beach Building Department GRAY IS REQUIRED.
7 800 Seminole Rd, Atlantic Beach, FL 32233 ('1 `'� r
-AP- Phone: (904) 247-5826 Email: Building-Deptccoab.us PERMIT II: l - ()af C_i
JOB ADDRESS: '-',.. C77)-"-; rY 1PROJECT VALUE$C-,dOCCs
JEA INFORMATION REQUIRED ON ALL PERMITS: r)T C `; AMPS J-i' VOLTS , PHASE
ErNEW SERVICE: 0 Overhead cflnderground ❑Underground up Pole
[Residential(Main)Service:
00-100 amps Q101-150amps pr151-200amps Q amps It of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service _amps
Conductor Type Size
❑Multi-Family(Main)Service:
DO-100 amps 0101-150amps 0151-200amps ❑ amps #t of Unit Meters _
1 I TEMPORARY POLE: amps
❑SERVICE UPGRADE:Cl amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
r—�
0100 amps 0150amps 0200amps ❑ amps IST Service amps
l._J 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:
E OTHER ELECTRICAL PROJECTS:
❑Swimming Pool[]Sign ❑Smoke Detectors (Qty) ❑transformers KVA ❑Motors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
❑ether: _ updated r0/I7/Je
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 nut. 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: Phone Number:
Electrical Company: } r 1.<"1 1 r f^~tr' IL Office Phone: $Lt 44
Co.Address: CitY8, \ Aye.. City: --5,B State: .R •Zip: 3;:,) a-_,.1
License Holder: lop-A014.--1. h4,' Ne-r1I C ^4--- State Certification/Registration U:,ES f r')1
Notarized Signature of License Holder As,
The foregoing instrument was acknowledged before me this day • 7 ,20 i in e State of Florida,County of f,ww(
Sign ure of Notary Pu
Personally Known OR 1 I Produced I.• 'cation
Tracey Paulsen Type of Identification:
NOTARY PUBLIC
-1.C•
STATE OF FLORIDA
�'� � Comore GG212743
Expires 4/30/2022