1021 ATLANTIC BLVD 19-29 - LED LIGHTS ,,,,1--- '4,,, ELECTRICAL COMMERCIAL OR PERMIT NUMBER
j ELEC18-0008
.TMMULTIFAMILY SEPARATE ELECTRIC
kr ISSUED: 11/15/2018
r,oPLANS PERMIT EXPIRES: 5/14/2019 i
I
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR
1021 ATLANTIC BLVD 953 MULTIFAMILY SEPARATE OUTSIDE LED LIGHTS - UNITS $2350.00
975 19-29
ELECTRIC PLANS
TYPE OF REAL ESTATEZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: i NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
COASTAL ELECTRIC 2759 STJOHN BLUFF RD JACKSONVILLE FL 32246
COMPANY
OWNER: ADDRESS: CITY: STATE: ZIP:
EQUITY ONE ATLANTIC NORTH MIAMI
1600 NE MIAMI GARDENS DR FL 33179
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.
i
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
f ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2 00
Issued Date: 11/15/2018 1 of 2
01.m„,, ELECTRICAL COMMERCIAL OR PERMIT NUMBER
0s ',
MULTIFAMILY SEPARATE ELECTRIC ELEC18-0008
u� z ISSUED: 11/15/2018
r,,;,,,;- PLANS PERMIT EXPIRES: 5/14/2019 I
STATE DCA SURCHARGE 455-0000-208-0600 0 $2 00
TOTAL: $94.00
Issued Date: 11/15/2018 2 of 2
riAt Electrical Permit Application **ALL INFORMATION
111, )--- N. _ 9 3gf
HIGHLIGHTED IN
h.- City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ElLC_U S _ 000
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS:ibat "Atlantic Blvd Units './97-o&9 PROJECT VALUE$$2,350.00
IEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 208 VOLTS 3 PHASE
❑ NEW SERVICE: El Overhead ❑Underground ❑Underground up Pole
EItesidential(Main)Service:
00-100 amps D101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
DMulti-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
❑SERVICE UPGRADE:❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps ❑CT Service amps
❑ ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am ps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
ri OTHER ELECTRICAL PROJECTS:
['Swimming Pool❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ['Motors HP
El FIRE ALARM SYSTEM(Requires 3 sets of plans):
Qty volts/amps
0 REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can OSafety Inspection panel Change DOH to UG
✓tether:Replace 5,.. 9400 W MH wall packs with LED wall packs Updated 10/17/18
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.
Owner Name: Regency Centers, LP Phone Number: (904)598-7629
Electrical Company: Coastal Electric Company of Florida Office Phone: (904)645-0026 Fax:(904)645-6186
Co.Address: City: Jacksonville State: FI Zip: 32246
License Holder: Jeff Sanders State Certification/Registration#: EC0000938
Notarized Signature of License Holder /
The foregoiph instr r9pt was acknowledged before me • is /5 day of v ,20 / i the State of Florida,County of „l `{�
(�y aron mi r�
t�` NOTARY PUBLIC Signature of Notary Publi -/-. .47Y/••
-�►; „. 1-1 STATE OF FLORIDA
r Comm#GG187820 ersonally Known OR[ ]Produced Identification
141'ct 101' Expires 2/19/2022 Type of Identification:
yCash Register Receipt Receipt Number
g p
{�r City of Atlantic Beach R7364
4.11-43;Y
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ELEC18-0008 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7364 $94.00
Date Paid: Thursday, November 15, 2018
Paid By: COASTAL ELECTRIC COMPANY
Cashier: CB
Pay Method: CREDIT CARD 4
Printed:Thursday, November 15, 2018 11:10 AM 1 of 1 �1