1021 Atlantic Blvd Unit 987 2013 elec safety CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
J ;r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . 13-00002996 Date 7/03/13
Property Address . . . . . . 1021 ATLANTIC BLVD
Tenant nbr, name . . . . . . 987 ATL. #17
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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EQUITY ONE ATLANTIC VILLAGE, RIVER CITY ELEC CONTRACTORS
16 NE MIAMI GARDENS DR 12496 GATELY OAKS LN E
ATTN: TREASURY DEPT JACKSONVILLE FL 32225
MIAMI BEACH FL 33179 (904) 220-8216
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION
Permit Fee 90 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/30/13
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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 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
_ Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Tpv
` q i�k`1Ct V-N Ic- 0 (1 . *�- 0 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS O60 AMPS YJ VOLTS PHASE
VALUE OF WORK$
NEW SERVICE Overhead ❑ Underground ❑J Underground up Pole
,Residential (Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
❑0-100 amps El 101-1 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.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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
❑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 Canafety 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. 'N
Property Owners Name l� �� y Phone Number 6c 3 —9,;)
Electrical Company`ZA'I c c CA:, �-V,<- Office Phone,-,2--7�" -N/OC( Fax
�� a State Zip 3 Z o-7 3
Co. Address:�y'a� ��m city
License Holder(Print): ����� e �_°'� St ertifi tion/Registration
Not i r � ' er Ll�06"1k N_
how pt" Notary Public state of Florida 7z, 1 20 I3
Kitty Cook rn an subscribed before me this day of
,t� My Commission EE 148663
�'�orr o! Expires ovi5i2016 gn re of Notary Public