Permit 2405 Mayport Rd elec redbox 2011 CITY OF ATLANTIC BEACH
6!1
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001596 Date 1/26/11
Property Address . . . . . . 2405 MAYPORT RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . COM GENERAL DISTRICT
Application valuation . . . . 0
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Application desc
disconnect redbox hardwire
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Owner Contractor
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AGREE ATLANTIC BEACH LLC M ELLIS ELECTRICAL, INC
31850 NORTHWESTERN HIGHWAY 4234 SOUTH BLUFF LAKE ROAD
FARMINGTON HILLS, MI MASCOTTE FL 34753
FARMINGTON HILLS MI 48334 (352) 400-5635
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/25/11
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other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 .00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERmiT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDREss: 2405 Mayport Rd. Atlantic Beach, FL 32233 PERMIT#
NEW SERVICE FlOverhead El Underground ED Underground up Pole
0 Residential(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 __,amps #of Meters
Wommercial(Main) Service
UO-100 amps 0101-150amps 0 151-200amps 0 __._,amps OCT Service amps
Conductor Type — Size
OMulti-Family (Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 ___amps #of Unit Meters
OTemporary Pole 0 _�amps
SERVICE UPGRADE 0 ____arnpS 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps El 150amps 0200amps 0 __amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-I 00amps
Heat Circuits: 4 circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 11 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection 0 Panel Change DOH to UG
(XOther: Hardwire vending machine to existing disconnect
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"I 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.
Property Owners Name Walgreens Go. Phone Number
Electrical Company Office Phone Fax
Co.Address: 104 Wilmot Rd. MS# 3301 City Deerfield —State I i Zip 60015-461
License Holder(Print): Michael Ellis State Certification/Registration# EQ 13003559
Notarized Signature of License Rolder
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SARA K.DIXON andsubscribed efo methis da 0 2o—IL
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,:,Ip Notary Public-State of Florlda�
My Commission Expires Feb 28,20tj of Notary Pu lic
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Commission# DD 763289
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