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985 Atlantic Blvd unit 983 temp service 2012 •f`'S r�<a ? * ` CITY OF ATLANTIC BEACH , -� 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12-00000436 Date 4/16/12 Property Address . . . . . . 985 ATLANTIC BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . COM GENERAL DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 100 amp sub panel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EQUITY ONE ATLANTIC VILLAGE, THOMAS ELECTRIC COMPANY 16 NE MIAMI GARDENS DR P 0 BOX 10515 ATTN: TREASURY DEPT JACKSONVILLE FL 32247 MIAMI BEACH FL 33179 (904) 346-0012 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Dat Valuation . . . . 0 E ation Date 12 -- - ------------------------------- --------------------------------------- Special Notes and Comments service at 983 to be used by 985 atlantic es STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 109 . 00 109 . 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 �j ('� Ph(904) 247-5826 F x (904) 247-58-4,17-, .TOB ADDRESS: l d � � U --J PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS XV AMPS 2�QVOLTS5 PHASE VAL UE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ['Residential(Main) Service 10-100 amps ❑101-150amps 1151-200amps ❑ amps # of Meters Commercial(Main) Service ❑0-100 amps 11101-150amps 0151-200amps CI amps LCT Service amps Conductor Type Size 1 Multi-Family(Main)Service 1 10-100 amps P 101-150amps [1151-200amps amps # of Unit Meters ]Temporary Pole amps SERVICE UPGRADE -i amps E CT Service amps NEW FEE (ADDITIONS,ACCESSORY STRUCTURES,ETC.) 00 amps C]150amps []200amps f amps i !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 L] Sign ❑Smoke Detectors_Qty I_I Transformers KVA C Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS 7Replace Burnt/Damaged Meter Can (Safety Inspection ❑Panel Change ! OH to UG —� ]70ther: ASS -P/42'm 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 I`'� � ij" -S' 4 Phone Number I Electrical Company_`?—h��, r'-9-S 2Z�eef Office Phone9oy 321(j-Cya1P- Fax Co. Address: O /City ,�)' �-- State TL Zip 32--�'Lf License Hol . State Ce ification/Re ' tration# J�-Oa1.52 51:4-- "µr p"• � Notarized r ` e c� 760 . r EXPIRES:February 14,2Q44 Bonded Thru Notary Public Unde&MAO and subscribed b ore me is of / 2010 Signature of Notary Pub