1021 Atlantic Blvd ELPP19-0036 Meter 997 A %S Qj'j` ELECTRICAL COMMERCIAL OR PERMIT NUMBER
r 1�, ELPP19-0036
MULTIFAMILY DETAILS PER BLDG
ISSUED: 9/11/2019
PLANS PERMIT EXPIRES: 3/9/2020
MUST CALL INSPECTION • i 90+ 247-5814 BY + PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, ' AND OF ATLANTIC BEACH • 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:
1021 ATLANTIC BLVD 953- ELECTRICAL COMMERCIAL OR ELECTRIC SAFETY
975 MULTIFAMILY DETAILS PER INSPECTION - METER 997 A $200.00
BLDG PLANS
TYPE OF
i • GROUP:
177602 0040 SECTION LAND
�•iWili�i�� CITY: STATE:ADDRESS: '
MUNSON & BRYAN 3434 ST AUG USTINE RD JACKSONVILLE FL 32207
ELECTRICAL CO.
• ADDRESS:
EQUITY ONE ATLANTIC 1600 NE MIAMI GARDENS DR NORTH MIAMI 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. -
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 4SS-0000-322-1000 0 $SS.00
SAFETY INSPECTION 4SS-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 9/11/2019 1 of 2
Electrical Permit Annn lication "ALL INFORMATION
Mr HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 «! P P 0 O 3
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS' Atlantic Blvd. Unit A ��'�� 7 A PROJECT VALUE$$200.00
!O Z- JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 208 VOLTS 3 PHASE
❑NEW SERVICE: E3 Overhead ❑Underground ❑Underground up Pole
oResidential(Main)Service:
❑0-100 amps C3101-150amps 0151-200amps []_amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps E3101-150amps 13151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps E3101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
El SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
[3100amps ❑150amps ❑200amps ❑ amps ❑CT Service 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 []Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can Safety Inspection panel Change ❑OH to UG
�� 7. G`� M G-{�r Updated 10/17/18
❑ether:
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: (0598-7450
Electrical Company: Munson and Bryan Electric Co Inc Office Phone: (904)39"689 Fax:(904)39&1136
Co.Address: 3434 St.Augustine Rd. City: Jacksonville State: FL Zip: 32207
License Holder: John Sciolino ZI State Certification/Registration#: EC0001795
Notarized Signature of License Holder //��
The foregoing instrument was acknowlec ed before me this S da of w 7 in the State o Florida,County of
Ry 4 Tammy Dennard
Signature of Notary Public Q
o�NOTARY PUBLIC [personally Known OR[ ] Produced Identification
STATE OF FLORIDA Type of Identification:
Comm#GG168521
s"�cF 9�r Expires 12/14/2021