Permit 983 Atlantic Blvd elec safety 2012 unit 19 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000208 Date 2/21/12
Property Address . . . . . . 983 ATLANTIC BLVD UNIT 19
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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EQUITY ONE ATLANTIC VILLAGE R & R ELECTRIC COMPANY
1600 NE MIAMI GARDENS DR P.O. BOX 60665
ATTN:TREASURY DEPT JACKSONVILLE FL 32236
MIAMI BEACH FL 33179 (904) 768-6166
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . SAFETY INSPECTION
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/19/12
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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
qq �? Blva( _-4�lq
JOB ADDRESS: 01-11, C_ PERMIT# a
JEA INFORMATION REQUIRED ON ALL PERMITS C2,00 AMPS /-7d/2"VOLTS J PHASE
VALUEOFWORK$ -200,06
NEW SERVICE D Overhead Underground Underground up Pole
iResidential (Main) Service
i 10-100 amps 11 �10 1-I 50amps 151-200amps i_amps #of Meters
I Commercial(Main) Service
� 10-100 amps 1101-150amps 11 51-200amps I_amps DCT Service amps
Conductor Type Size
iMulti-Family(Main) Service
7-10-100 amps F1 10 14 50amps i �151-200amps 1 amps #of Unit Meters
Temporary Pole
SERVICE UPGRADE amps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps _1150amps �_1200amps i I amps i ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool i- Sign , I Smoke Detectors_Qty i Transformers KVA I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$ 4CC.00
REPAIRS/MISCELLANEOUS
lReplace Bumt/Damaged Meter Can Xsafety Inspection I :Panel Change 1 �OH to UG
,Other:
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.
Property Owners Name Ov'e Phone Number t�?o 7212-
V j
Electrical Company R&R ELECTRIC OF NORTH FL, INC. -Office Phone 764-5555 Fax 768-8240
Co.Address: PO BOX 60665 City JACKSONVILLE State FL Zip32236-0665
License Holder (Print): ROBERT A. SALLETTE/,&. State Certification/Registration# EC1318
Notarized Signature of License Ho r_41�1 &ej,"U6_ A
MTHY L ANSLEY Sworn and subscribed before me this 17TH day of FEBRUARY 20 12
MY COMMISSION#DO 779607
EXPIRES:May 20,2012 Signature of Notary Public 40
"'�OF�04�: BorldW 1�N BUdgat Notary SMiee$