1021 ATLANTIC BEACH BLVD 953-975 - PERMIT ELEC18-0001 ?j rUJ
CITY OF ATLANTIC BEACH
--- ;? 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELEC18-0001
Description: SAFETY INSPECTION
Estimated Value: 300
Issue Date: 5/22/2018
Expiration Date: 11/18/2018
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD 953-975
RE Number: 177602 0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE INC
Address: 1600 NE MIAMI GARDENS DR
NORTH MIAMI BEACH, FL 33179
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SEASIDE ELECTRICAL CONTRACTORS
Address: 12381 APPLE LEAF DR QA CLARK GEISSMAN
JACKSONVILLE, FL 32224
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ Q Ph/(9n04) 247-5826 Fax (904)247-5845 G LC C(R.�..�C�
JOB ADDRESS: Z
0 Z / // 7 �-A1J7_J C 13L-II_� PERMIT# CJ
JEA INFORMATION REQUIRED ON ALL PERMITS Z AMPS 20 0 VOLTS PHASE
VAL UE OF WORK$ 00-
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT 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 0200amps ❑ amps 0C Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 Can /afety Inspection ❑Panel Change DOH 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.
Property Owners Name �l�-nn,o / •-� /}G kc S Phone Number
i
Electrical Company,=5'-ft]!�1 O 6L/r cT2I� 44e ,•)i Office Phonp 57`-{- U S-3-5'-Fax
Co.Address: �ZG r 3 13e4a City V� lc State XL Zip ?2Z%;
License Holder (Print): G/, e State Certification/Registration# G12l ay 13S-J 9
gs en Holder
FF 924951 n
=•; k_ r.` R1' ��`�r9' 2p19 Sworn and subscribed before m t is y of Q 2CA
,otaryPublicUnden+f'ters
A`' Signature of Notary Public