Permit Elec HMO9 1085 Atlantic Blvd Bldg 9 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
VA
Application Number . . . . . 12-00001776 Date 12/05/12
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 9
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
HM09 HOUSE METER FOR BLDG 9
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Owner Contractor
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1085 ATLANTIC LLC MERIDIAN ELECTRICAL SERVICES
5118 N 56TH ST 11919 SUGARBERRY DR
TAMPA FL 33610 RIVERVIEW FL 33569
(813) 760-0142
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . HOUSE METER BLDG 9
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/03/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH t2
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
Lj� -- 11V
JOB ADDRESS: '-jj� 4--�, z- Md PE IT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS ZY) VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead nderground Underground up Pole
Residential (Main) Service
E10-100 amps 1-1101-150amps L 151-200amps L.!_amps of Meters
Commercial(Main) Service
?'K-1-100 amps El 10 1-15 Oamps r �151-200amps 11 amps I-ICT Service amps
Conductor Type Size
L I Multi-Family(Main) Service
110-100 amps D 10 1-1 50amps 151-200amps I I amps #of Unit Meters
F1 Temporary Pole E amps
SERVICE UPGRADE 1-7�_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100amps L-1150amps �L]200amps 1-1 -amps F�CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps —101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
IN Swimming Pool El Sign '-1 Smoke Detectors_Qty F i Transformers KVA F1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I I Replace Burnt/Damaged Meter Can i �Safety Inspection I �Panel Change 'OH to UG
I!Other: Z�* & S L :��"�
9
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 NameAd e-, Phone Number
Electrical Company a-77
Office Phone —Fax
Co. Address: City�L, V�- rlf I State F1ZiP .-3&51.?
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License Holder(Print): Lj-, State Certification/Registration 3 44
Notarized Signatu of License Ider
SHIFir L.GRAHAM
V
e t is ay of 20
MMMDEW40SU cribed b ore is
PIRES:February 14,2014 T
ru tary Public
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