1021 Atlantic Blvd ELPP19-0038 Meter 997 C 'S
ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP19-0038
ISSUED: 9/11/2019
PLANS PERMIT
EXPIRES: 3/9/2020
INSPECTIONMUST CALL PHONE • i FOR • •
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF • 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 DETAILS PER ELECTRIC SAFETY $200.00
BLDG PLANS
975 INSPECTION - METER 997 C
TYPE OF
ZONING: :D •
• • GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS:
MUNSON & BRYAN
ELECTRICAL CO. 3434 ST AUG USTINE RD JACKSONVILLE FL 32207
•
ADDRESS:
EQUITY ONE ATLANTIC NORTH MIAMI
VILLAGE INC 1600 NE MIAMI GARDENS DR BEACH FL 33179
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 • •
I
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
Issued Date: 9/11/2019 1 of 2
=r Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 EL-PPI C) -p Qs g
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDiwSS: �Auantic Blvd.Unit C --* 9 7 C— PROJECT VALUE$$200.00
JEA INFORMATION REQUIRED ON ALL PERMITS: Zoo AMPS 208 VOLTS 3 PHASE
❑NEW SERVICE: El Overhead OUnderground []Underground up Pole
Ctesidential (Main)Service:
❑0-100 amps 0101-150amps E3151-200amps ❑ amps #of Meters
CJCommercial(Main)Service:
❑0-100 amps 173101-150amps 13151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑D-100 amps 171101-150amps [1151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps 0200amps ❑ amps [DCTService amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 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:
❑ OTHER ELECTRICAL PROJECTS:
[]Swimming Pool❑Sign []Smoke Detectors (Qty) [-]Transformers KVA OMotors HP
❑FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑REPAIRS/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can ❑lSlafetyl Inspection ❑Panel Change []OH to UG
Dther. - 2 C% "\ 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 Phone Number: (904)598-7450
Electrical Company: Munson and Bryan Electric Co Inc Office Phone: (904)39&6669 Fax:(9x)396-1136
Co.Address: 3434 St.Augustine Rd. City: Jacksonville State: FL Zip: 32207
License Holder: John S Iolino tate Certification/Registration#: EC0001795
Notarized Signature of License Holder
The foregoing instrument was acknowledbefore me this day of W n the State of Florida,County of
�p.RY Tammy
Dennard WS'gnatre of Notary PublicNOTARY PUBLIC onally Known OR[ ] Produced Identification
STATE OF FLORI Identification:
Comm#GG168521
r�v� 19�� Expires 12/14/2021
C Cash
'.' Register
• • Receipt
Receipt
DWI
DESCRIPTION • QTY 'A /
PermitTRAK $327.00
ELPP19-0036 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 52.00
ELPP19-0037 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
ELPP19-0038 Address: 1021 ATLANTIC BLVD 953-975 APN: 177602 0040 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTALBY R10201 11
Date Paid: Wednesday, September 11, 2019
Paid By: MUNSON & BRYAN ELECTRICAL CO.
Cashier: CT
Pay Method: CREDIT CARD 45051G
Printed:Wednesday,September 11,2019 3:53 PM 1 of 1 `