1021 Atlantic Blvd Unit 13 ELPP22-0030 Bloom Behavioral safety inspection permitELPP22-0030
1021 ATLANTIC BLVD UNIT 13BLOOM BEHAVIORAL SOLUTIONS
OWNER:ADDRESS:CITY:STATE:ZIP:
EQUITY ONE ATLANTIC
VILLAGE INC 1600 NE MIAMI GARDENS DR NORTH MIAMI
BEACH FL 33179
COMPANY:ADDRESS:CITY:STATE:ZIP:
MUNSON & BRYAN
ELECTRICAL CO.3434 ST AUGUSTINE RD JACKSONVILLE FL 32207
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177602 0040 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1021 ATLANTIC BLVD 961
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER
BLDG PLANS
BLOOM BEHAVIORAL UNIT
13 - ELECTRICAL SAFETY
INSPECTION
$250.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 4/25/2022
PERMIT NUMBER
ELPP22-0030
ISSUED: 4/25/2022
EXPIRES: 10/22/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $109.00
2 of 2Issued Date: 4/25/2022
PERMIT NUMBER
ELPP22-0030
ISSUED: 4/25/2022
EXPIRES: 10/22/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH