1021 Atlantic 953-975 ELPP18-0026 21 may.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP18-0026
Description: 225 Amps 208 Volts Phase 3
Estimated Value: 25000
Issue Date: 10/4/2018
Expiration Date: 4/2/2019
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD 953-975
RE Number: 177602 0040
PROPERTYOWNER:
Name: EQUITY ONE ATLANTIC VILLAGE INC
Address: 1600 NE MIAMI GARDENS DRATTN:TREASURY DEPT
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 (PP�&_OD'Z(_
^^Plhh(904) 247-5826 Fax(904{)247-5845 u ( `f
JoB ADDRESS: 1021 H'T1EI✓T t L /J I VQ 9f3 - 97f PERMIT# M- 00) ?
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS IM VOLTS PHASE
VALUEOFWORK$ Z
NEW SERVICE ❑ Overhead ❑ Underground ❑r Underground up Pole
❑Residential(Main)Service
00-100 amps L 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
110-100amps 101-150amps 0151-200amps ❑ amps ICT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-I00amps 0101-150amps 0151-200amps ❑ amps of Unit Meters
❑Temporary,Pole G amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L 100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __?_Ir 0-30amps 31-100amps 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: 3`7
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 WORKS
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
IJOther:
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 we 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. J 6/ I /
Property Owners Name
�H i , . �-T/c I��/ 1V f Phone Number
J;
Electrical Company4'xj1 L le.At [�.rrl Office Phone 19'lq �CIT-79—Fax
Co.Address: I Z6 2v " 3 /3A,4 4W -#'23r City c f-^-C1i State -_C- Zip J�22
License Holder(Print): C--1 iruJ State Certification/Registration#MHO)3579
Notarized Signature of License Holder ez
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JAMIE D.shIM
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