1021 Atlantic Blvd 953-975 ELPP20-0009 Elec for Int Buildout 'E,...S'''
0ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP20-0009
'' ISSUED: 2/4/2020
Q. �,f, ,r PLANS PERMIT EXPIRES: 8/2/2020
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 DETAILS PER ELECTRIC FOR INTERIOR $23300.00
975 BUILDOUT
BLDG PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
MUNSON & BRYAN 3434 ST AUGUSTINE RD JACKSONVILLE FL 32207
ELECTRICAL CO.
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
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:2/4/2020 1 of 2
et - r, ELECTRICAL COMMERCIAL OR PERMIT NUMBER
a Fr, MULTIFAMILY DETAILS PER BLDG ELPP20-0009
‘Rer
ISSUED: 2/4/2020
f , PLANS PERMIT
EXPIRES: 8/2/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
. TOTAL: $94.00
Issued Date: 2/4/2020 2 of 2
Electrical Permit Application '"ALL INFORMATION
�, .„T-43N\ pM HIGHLIGHTED IN
�; Clty of tic Beach Building Department GRAY IS REQUIRED.
` 81: Seminole °d, Atlantic Beach, FL 32233 E L PP ZC 7 DOC
•
�•` -t ��
ahprfe: (904) 2,7-5826 Email: Building-Dept@coab.us PERMIT#: 20-0002
n JOB ADDR : 7 Atlantic Blvd I OZ. ''''` 0.n Q_ PROJECT VALUE$
/
�JEA INFOR ° ION REQUIRED ON ALL PERMITS: 200 AMPS 208 VOLTS 3 PHASE
❑NEW S • . 0 Overhead ❑Underground DUnderground up Pole
d tesidential(Main)Service:
00-100 amps D101-150amps ❑151-200amps 0 amps #of Meters
DCommercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
Q TEMPORARY POLE: amps
0 SERVICE UPGRADE:❑ amps OCT Service amps
n NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps ❑200amps 0 amps ❑cr Service amps
❑ ADDITIONS,REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 60 0-30amps 31-100amps 101-200amps
Appliances: 1 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures: 20
0 OTHER ELECTRICAL PROJECTS:
❑Swimming Pool❑Sign QSmoke Detectors (Qty) ❑Transformers KVA ['Motors HP
0 FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
0 REPAIRS/MISCELLANEOUS:
OReplace Burnt/Damaged Meter Can OSafety Inspection panel Change DOH to UG
:Other: 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 wit 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: ( )396-6689 Fax:(904)396.1136
Co.Address: 3434 St.Augustine Road City: Jacksonville State: FL Zip: 32207
License Holder: John Sciolin State Certification/Registration#: EC0001795
_
Notarized Signature of License Holder
The foregoing instrument was acknowle ged before me this 1day 6-1244-4j20 w' the State of Florida,County of
I 5 1>\ •
Signature of Notary Public a IM 1 :Z;;x-.t^-��/u
SCc- `
X ( rsonally Known OR[ ] Produced Identification oS ' ,�, Tammy Dennard
Type of Identification: •v Q�NOTARY PUBLIC
,r ” - '6 I A i E OF FLORIDA
e_4(iQ � t. -'Comm#GG168521
LCE 191� Expires 12!14!2021
rt�L`J fJr,
-' - s Pi-01111fr Cash Register Receipt Receipt Number
'� r City of Atlantic Beach R11641
DESCRIPTION I ACCOUNT I QTY PAID
PermitTRAK $94.00
ELPP20-0009 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: R11641 $94.00
Date Paid: Tuesday, February 04, 2020
Paid By: MUNSON & BRYAN ELECTRICAL CO.
Cashier: FJ
Pay Method: CREDIT CARD 4
Printed:Tuesday, February 04,2020 9:47 AM 1 of 1 a
s