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Permit Elec New Service 209 Atl Blvd 2011 -(r ', CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD =" ATLANTIC BEACH, FL 32233 '4.4t1)109' INSPECTION PHONE LINE 247 -5814 Application Number . . . . . 11- 00002503 Date 8/23/11 Property Address 209 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 20000 Application desc NEW COMMERCIAL 125 AMP, 3 PHASE SERVICE Owner Contractor SOUTHCOAST CAPITAL PTNRSHP LTD ERICKSON ELECTRICAL CONTRACTOR 1600 INDEPENDENT SQUARE 2807 ST JOHNS BLUFF JACKSONVILLE FL 322025018 JACKSONVILLE FL 32246 (904) 641 -9090 Permit ELECTRICAL PERMIT Additional desc . NEW COMMERCIAL 125 AMP 3 PH Permit Fee . . . 115.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 2/19/12 Other Fees STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 Fee summary Charged Paid Credited Due Permit Fee Total 115.00 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 119.00 119.00 .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 7/D1 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247 -5826 Fax (904) 247 -5845 0Q 5/03 ,� JOB ADDRESS: - =.je ` cu C '� . \ k PERMIT # 1 1. baitrte _ — on JEA INFORMATION REQUIRED ON ALL PERMITS 7) 6 AMPS 4: UVOLTS PHASE VALUE OF WORK $ 00 / h n () NEW SERVICE n n Underground 1 J Underground up Pole Residential (Main) Service 0 -100 amps 1101 150amps 1 151- 200amps I amps # of Meters • DC Commercial (Mai S ice / \ 0-100 amps 01 -150am s 1 151 F 200amps 1 amps 1 CT Service amps Conductor Type A L - �(INt � Size ,,J 0 Multi- Family (Main) Service 0 - 100 amps 101 l5oamps 151- 200amps amps # of Unit Meters Temporary Pole 1 amps SERVICE UPGRADE amps 1 CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) n 100 amps 150amps 200amps >]a5 amps I CT Service amps ,p c @L ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. � Outlets /Switches: 0- 30amps c. 31- 100amps 101- 200amps Appliances: J5 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 1 Sign I Smoke Detectors Qty (Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS �� ) Replace Burnt /Damaged Meter Can I Safety Inspection 1 Panel Change ' ' OH to UG Other: @90 05 4 23 5 e��! C., n , ) i LoCA% E C fECO- /TS Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that 1 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. Property Owners Name y� Phone Number Electrical Company' Y IC.-C Y\ F . . - V C*V 1 (O \ C D I A A � " 6i el cIO hone ` I " cb o� oax 104- 01. 6ree Co. Address:` • sb■■S le:Au_ Vi* Z-- City i(kC- kces(1 I } k State V Zip STZ4 0 License Holder (Print): Flai 114 . rV i C- & A State Certification/Registration # E Ono l 3 Notar jzet !Si , 6 ! .:t er MY COMMISSION # nD99795N orn and subscrib • d before m this c day of N ess\ 20"O '- ,5+ 4'*: (i EXPIRES June 03, 2014 OF M1 or- "'''' r ' i'i F ^ i "'-' .. _ nature of Notary Public i ii \J t !., ____ s! r4. City of Atlantic Beach APPLICATION NUMBER Budding Department (To be assigned by the Building Department.) r 800 Seminole Road u • , a�,. Atlantic Beach, Florida 32233 -5445 Phone (904) 247 -5826 - Fax (904) 247 -5845 l e_ 0 — // %, .," v E -mail: building - dept ©coab.us I Date routed: City web -site: http:! /www.coab.us - , 1 , k - 1 APPLICATION REVIEW A ' � .. l , �res' 5 /L — d - ' i 4 D- /su Property Addr- : �'�� � ' t Applicant: C / ✓I 2 sS Skit k2-c--- i d# ) Project: ,4 S/a G‘L • • , 7-09 e t-/ — zkoc-ra r e._ Ea/D ( *I - 7 --- ix-4-144-4 , Reaievi fees" . . g g "` V 5 (, I Other Agency Review or Permit Required of rrtAih ` , MI iit Florida Dept. of Environmental Protection Florida Dept. of Transportation /(-P St. Johns River Water Management District 69291 Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco 1 / GC_ Other: APPLICATION STATUS U / /,� Ale-g--6 � Reviewing Department First Review: ['Approved. ❑Denied. ,i / — ` 6 (Circle one.) Comments: 'l ,"- BUILDING U 6 - � .AA_A Xv14 �/�2 J e ` ` ''� PLANNING & ZONING / &-c-'(- ' Reviewed by: Date: TREE ADMIN. Second Review: [Approved as revised. ['Denied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: ['Approved as revised. ❑Denied. Comments: Reviewed by: Date: Revised 07/27/10