1021 Atlantic ELEC18-0007 ELECTRICAL COMMERCIAL OR PERMIT NUMBER
D
MULTIFAMILY SEPARATE ELECTRIC ELISSUED:SED: 07
S
r
„ y PLANS PERMIT EXPIRES:
PHONEMUST CALL INSPECTION t • DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT ISTH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
ELECTRICAL COMMERCIAL OR
1021 ATLANTIC BLVD 953- MULTIFAMILY SEPARATE Renovation-Jumpin Jax $2150.00
975 ELECTRIC PLANS
TYPE OF ZONING: BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: • r •
COASTAL ELECTRIC 2759 ST10HN BLUFF RD JACKSONVILLE FL 32246
COMPANY
OWNER: ADDRESS:
EQUITY ONE ATLANTICNORTH MIAMI FL 33179
1600 NE MIAMI GARDENS DR
VILLAGE INC BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELECREPAIRS AND I :: 455-0000-3221000 1 0 1 $3500
ELECTRICAL BASE FEE 455-0000-3321000 0 11 $5500
STATE DEER SURCHARGE 455-0000-208-07M 0 $200
Issued Date: 1 of 2
ELECTRICAL COMMERCIAL OR PERMIT NUMBER
8-0007
MULTIFAMILY SEPARATE ELECTRIC ELECT
o ISSUED:
PLANS PERMIT EXPIRES:
STATE OCR SUPCHARGE 455-0000308-0600 O
$2'00
TOTAL:$90.00
Issued Date: 2 of 2
IbZ ( J�rn�in J � �tiS
�,' �(✓� ��6 -( 38
•aALLINPORMATION
Electrical Permit Application HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAVIS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 (�,LCC)g —C7 007
Phone: (904) 247-5826 Email:22Building-Dept@coab.us PERMIT H:
JOB ADDRESS: M"90 ied antic Blvd Units 4-49 — J PROJECT VALUE$$2150.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 3pp_S`-AMPS "a VOLTS a_PHASE
❑NEW SERVICE: [3 Overhead OUnderground OUnderground up Pole
cal esidentlal(Main)Service:
00-100 amps 0101-150amps 0151-200amps n trips Hof Meters_
OCommercial(Main)Service:
DO-100amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
CiMuld-Family(Main)Service:
00-100 amps 0101-150amps []151-200amps (]_amps Hof Unit Meters_
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:[]_amps L)LT Service_amps 111
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.): Jr
0100amps O150amps []200amps O amps IY.TService_amps 1Z
❑ ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC: V/` �
Outlets/Switches:_0-30amps _31-300amps _101-200amps
Appliances: _p-30amps _31-100amps _101-200amps
A/C Circuits: 0-60amps _61-100amps
Heat Circuits: _H circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
OSwimming Pool❑Sign QSmoke Detectors__(Qty) oTransformers KVA QMotors_HP
FIRE ALARM SYSTEM(Requires 3 sets of plans):
qty volts/amps
❑REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can OSafety Inspection aanel Change OOH to UG UpOnted20/1 r1H
0)ther:Replace lour(4)a0o W MH wall packs with LED wall pucka
Permit becomes void if workdoesnotcommence within a six month period or work is suspended or abandoned for six months. Ihereby unify that Ihave
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 prowNions of any other state or local law regulation construction or the performance of
construction. Phone Number. (90a)aso-ien:
Owner Name: Re^enaV CentersLP
Electrical Company: Coeelel EieadcwmomymFlwida -Office Phone: rewwMmze Fax:moa+smm
Co.Address; qty,; darsuanvgle State: FI_Zip: aa. ::
Ucense Holder: Jeff Sandprs State Certification/Registration H: ECOopoeag.
Notarhed.990ortunrafticenseffoldet
l,y Coun of
The foregoing instrument was acknowledged before me this day y�—ZO("�QpyJ���n,�the SAt�ate of Florida, ry
t y Sharon Smith Sig ure of Notary Puba L/7/!i/FUJ
+ NOTARY PUBLIC
STATE OF FLORIDA ]Personally Known OR[ ]Produced Identification
CommHGG157820 Type of Identification:
W1 Expires 2/19/2022
'' • .
Cash Register Receipt
City of Atlantic Beach R7361
-env
DESCRIPTION ACCOUNTCITY •
PermitTRAK 1 $94.00
ELEC18-0007 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000.322-1000 1 0 1 $55.00
ELEC REPAIRSAND MISC 455-0000-322-1000 1 0 1 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-') o0
$2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL11
CITY OF ATIANTIC BEACH
-A SENIHOLE RD
ATLANTIC BEAC,R.32233
11/I412018 15:44:52
CREDIT CARD
VISA SALE
Card 4 XXXXXICXYRRXX1616
SEQ A: 7
W q; 732
INVOICE 7
ARRrovul Cade: 01342G
FnOY Nletlwd: Maui
Mode, OHM
Ta knout: $000
Cad Cade: M
SALE AMOUNT $94.00
CUSTOMER CON
Date Paid:Wednesday, November 14,2018
Paid By: COASTAL ELECTRIC COMPANY
Cashier: BA
Pay Method: CREDIT CARD 7 4
Printed:Wednesday,November 14,20183:46 PM 1 of 1 e
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