1021 ATLANTIC BLVD # 977 - ELECTRICAL = CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -797
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - INSTALL 400 AMP, 3 PHASE SERVICE AND
REWIRE SPACE
Estimated Value: $400.00
Issue Date: 4/6/2016
Expiration Date: 10/3/2016
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD
RE Number: 177602 -0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE,
Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT
GENERAL CONTRACTOR INFORMATION:
Name: ADVANCED WIRING SERVICES INC.
Address: 3061 PHILLIPS HIGHWAY ST QA WALTER WILLIAM
GILLIAM
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
e 0KRE c,( 0 ,)
ELECTRICAL PERMIT APPLICATION U (0 ( l C 7
CITY OF ATLANTIC BEACH ---
800 Seminole Rd,Atlantic Beach,FL 32233 1 , _EI- EC Q`
t, Ph(904)247-5826 Fax (904) 247-5845 17
JOB ADDRESS: 1011 P-f jg r<7 iG B{iia u A l T 9 7 7 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 110.)OJ AMPS 12Z VOLTS 3 PHASE
VALUE OF WORK$
NEW SERVICE El Overhead C,21 Underground nJ Underground up Pole
1Residential(Main)Service
.0-100 amps 101-150amps 151-200amps amps #of Meters
)'Commercial(Main)Service
L 0-100 amps _101-150amps _ 151-200amps X¢ la) amps -CT Service amps
Conductor Type Size
Multi-Family(Main)Service
i 0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole _ amps L
SERVICE UPGRADE amps I CT Service amps `\
Ci
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ��
-_'100 amps L150arnps 200amps _amps - CT Service amps P b'
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,
ETC. i/' •
Outlets/Switches: '70 0-30amps 31-100amps 101-200ampsf_ip• 1X1r- r1
Appliances: 0-30amps 31-100amps 101-200amps 'L ®
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures: /55
OTHER ELECTRICAL PROJECTS
'Swimming Pool Sign Smoke Detectors Qty ..Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
I Replace Burnt/Damaged Meter Can Safety Inspection • Panel Change TOH to UG
Other: 111541t yet) 30 SCT"::( a"A Xe w.te 7e-a47 Space
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 coned. 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 la"ii y OV -4 riconf L VI Ii�` '^`" Phone Number
ElectricaTCom any jtAvanceS EIciri. nt Nor;h PIorfAh Office Phone 74'1-100/6 Fax 72,2-1121
Co.Address: 7064 I pi.,+is;ps Aifiti,A,f/([a at 101 City JRcKyKSrMW l(C State f t Zip 31-1-°1
License Holder(Print): 1,04 L?Pr a;11,� State Certification/Registration# co 303
Notarized Si.:nature o License .o der cdagAA —
il! BRITTANIE GILBERT .worn and subscribed before me this Li* day of IIOn
20
i itAt 1. Nptity Public-SRO o1 Florida '3,,,,,,,4,.2
f7� i
_1. *'• My Comm.Expires Mu 2.201! .ignature of Notary Public 'i, " 2 /`.F !�
'' : . Commission•FF 091711
• KDv f eep w tR(NG s-E-aV4ces t" C.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 i �l EC
Ph (904) 247 -5826 Fax (904) 247 - 5845 — , 97
JOB ADDRESS: J 0 2- 1 Prt14 ea iG 1 r v.L U+d l r "" 7 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS /4 oD AMPS I2$- VOLTS 3 PHASE
VALUE OF WORK
NEW SERVICE ❑ Overhead (;SI Underground nT Underground up Pole
7 Residential (Main) Service
0 -100 amps 101- 150amps 1151- 200amps amps # of Meters
XCommercial (Main) Service
L 0 amps 101 150amps 151- 200amps }1t Lf) amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
i 0 -100 amps 101 150amps _' 151- 200amps amps # of Unit Meters
LiTemporary Pole li amps
L
\
SERVICE UPGRADE - amps I: 0
CT Service amps
E c, C.
NEW FEEDER
(ADDITIONS, ACCESSORY STRUCTURES, ETC.) v
ETC.
_ 100 amps 150amps 200amps _ amps ■ CT Service amps P l i(/i •
t °11
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, W
Outlets/Switches: '7D 0- 30amps 31- 100amps 101- 200amps /Skit' ' r
Appliances: 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: /55
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty .- Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK $
Qty volts/amps
REPAIRS/MISCELLANEOUS
I Replace Burnt/Damaged Meter Can _!Safety Inspection • _:Panel Change - -SOH to UG
other: 1115 .1.41k YODA1 ,30 Scrd'`t aru.t. R aJ ire / t' 4l Sparc
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 have
read this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 Ea u i 1 'l ale- 4-r/o va-i t, Vi (I ye' 5 -. Phone Number
Electr o any NV/Pica Eleatic Or North IA or /dq Office Phone 7yK Fax 72-2- 21
Co. Address: 70e, t ph + U ;16 )I ofLial> / 1.144 , 1 101 City >✓ksonul t lc State f L Zip
.3Z1°1
License Holder (Print): 144 L7er G ; t 1 ra 1+*- State Certification/Registration # CG ( 36
Notarized Signature o License Holder lt)Cia h Lef-` ----
Comm. Expires ar a 1,1� �, ', w 20
:r• o :•4 BRITTANIE GILBERT . worn and subscribed before me this l day of April_
.� ;,1 . = wry Public - Statt 01 Florida j/ ,s. „- y M 2, z _ • % Flt .t � 4
"••Nn.' f;� Commission 0 FF 097
nature of Notary Public
I/IIIIN
l eOE w 1 Ri roG SZkV-{CE5 IA-C.