Permit Elec Unit 8 Svc Chg Comm wire alt 469 Atlantic blvd 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
it
Application Number . . . . . 12-( 0001009 Date 8/08/12
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . 469-.8 UNIT 8 ATLANTIC BLVD
Application type description COMMERCIAL INTERIOR BUILD-OUT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 23000
-----------------------------------------------------------------------------
Application desc
build out for dr office
---------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
DIAMOND REAL ESTATE PROPERTIES MACK BROTHERS GENERAL CTRS .
6517 LOU DRIVE SOUTH 5521 BARKER STREET
JACKSONVILLE FL 32216 JACKSONVILLE FL 32207
(904) 237-0868
--- Structure Information 000 000 INTERIOR BUILD OUT
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . BUSINESS
-----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc SVC INC TO 200 AMP WIRE ALT
Sub Contractor SPURGEON ELECTRIC INC
Permit Fee . . . . 140 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/04/13
--------------------------------------- ------------------------------------
Special Notes and Comments
per m griffin no fire review
2010 FLORIDA BUILDING CODE, FLORIDA FIRE PREVENTION CODE
2008 NATIONAL ELECTRIC CODE
-----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 10
STATE ELEC DBPR SURCHARGE 2 . 10
-----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ----------- ---------- ----------
Permit Fee Total 140 . 00 140 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 20 4 .20 . 00 . 00
Grand Total 144 . 20 144 . 20 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF LTLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT PPLICATION
CITY OF ATLANTI c BEACH
800 Seminole Rd, Atlantic Beach, Fl, 32233
Ph (904) 247-5826 Fax (904)247-5845
JO D A__j 1 /01
11�� S 9 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS VOLTS PHASE
VAL UE OF WORK$
NEW SERVICE El Overhead F-1 Underground Underground up Pole
F I Residential (Main) Service
F 10-100 amps F 1101-150amps I 151-200amps amps of Meters
Commercial(Main) Service
F-0-100 amps 110 1-I 50amps I i 151-200amps amps 'CT Service amps
Conductor Type Size
!Multi-Family(Main) Service
10-100 amps I-'110 1-15 Oamps 11 51-200amps amps #of Unit Meters
I Temporary Pole : I_amps
SERVICE UPGRADE Z"P D amps I I CT Se vice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,E71 C.)
�100amps ']150amps L1200amps amps ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: __I Q,0-30amps 31-100amp� 101-200amps
Appliances: 0_30amps 3 1-1 00amp� _101-200amps
A/C Circuits: 0-60amps 61-1 00amp�
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Vix-t—ures:
OTHER ELECTRICAL PROJECTS
I I Swimming Pool Ll Sign F I Smoke Detectors_Qty I �Trar sformers KVA ']Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty_volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
I Replace Burnt/Damaged Meter Can I Safety Inspection WanelChange /110fitouq�41
Other: /0 C, Iq��g lee S
Permit becomes void if work does not commence within a six month period or work i! 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 ot�er state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company Office Phone 50� Y-22! 6;7 f ax 2Z5-- 9 ;7
Co.Address: 26b �7 -U,� City Jk'1/157e State 1��, Zi -32.o
�_-�pon
License Holder (Print): k,,-,4/C/- S �'�F cey- State Certification/Registration IT
Notarized Signature of License Holder Zj
DEWMAMAMA"irrE worn and subscribed befor ine this day of C9_011--�'2 0/�L
V�'L
A ISSION#EE 05730
my Comm
gnature of Notary Pub]i