Permit Elec 469 Atl Unit 13 2012 tj
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
SA
Application Number . . . . . 12-00000684 Date 6/01/12
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 13 SUBWAY
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 circuit
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Owner Contractor
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DIAMOND REAL ESTATE PROPERTIES ADVANCED WIRING SERVICES INC.
6517 LOU DRIVE SOUTH 3061 PHILLIPS HIGHWAY ST 101
JACKSONVILLE FL 32216 JACKSONVILLE FL 32207
(904) 744-4446
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 60 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/28/12
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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 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 . 00 64 . 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: L4 4-t(a.,-7t-C B (") PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7-1 AMPS VOLTS PHASE
VAL UE OF WORK$
NEW SERVICE 0 Overhead Underground Underground up Pole
[]Residential(Main) Service
EO-100 amps EJ 10 1-15 Oamps El 151-200amps El amps of Meters
D Commercial(Main) Service
EO-100 amps 11 101-150amps El 151-200amps 11 amps 11 CT Service amps
Conductor Type Size
EMulti-Family(Main)Service
DO-100 amps 1110 1-15 Oamps 11 151-200amps 11 amps #of Unit Meters
[]Temporary Pole El amps
SERVICE UPGRADE 11 amps 11 CT Service— amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps 0150amps EJ200amps 11 amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps _101-200amps
Appliances: 0-30amps 3 1-1 00amps —10 1-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[I Swimming Pool Ll Sign E,Smoke Detectors_Qty 11 Transformers KVA El 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 El Safety Inspection EPariel Change 11 OH to UG
11 Other: D i-
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 Phone Number
Electrical CompanyA-JV0tr16ed_ 6J'1')5 <_ejVie_aS' Office Phone -7 y V-qyY-"—Fax
Co. Address: 306( Al. plv\ - 1(�p 5 14"x 5z'.r�e /0 1 City TA-r-t-w-tv'ife- State SL Zip
License Holder (Print): State Certification/Registration# EfCOJ51-57e
Notarized Signature ofLicense Holder D'.et� __ -
Sworn and subscribed before rn�v� d y --20/2--
e of Notary Public
SHIRLEY L.GRA
COMMISSION#DO 957760
0
EXPIRES:Feb!-uary 14,27014
U 6.
& Sonded Thru Notaiy Public undermie,
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