363 Atlantic Blvd unit 8 2012 safety elec 9' b r<
CIT)( OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ='� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
it
Application Number . . . . . 12- 0001381 Date 9/26/12
Property Address . . . . . . 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . 8
Application type description ELE TRIC ONLY
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . 0
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Application desc
SAFTEY INSPECTION SUITE #8
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Owner Contractor
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SHOPPES OF NORSHORE LLC LIGHTHOUSE ELECTRICAL CTR.
P.O. BOX 330108 2345 URBAN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 384-0180
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Permit ELECTRICAL PE MIT
Additional desc . . SAFETY INSPEC ION
Permit Fee . . . . 90 . 00 1 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 3/25/13
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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 aid 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 A LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMITPPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic,, Beach, FL 32233
Ph (904) 247-5826 Faxi!(904) 247-5845
1 ADDRESS: 3(o3 A TL_P a--zc. PERMIT# YZ-1391
I
JEA INFORMATION REQUIRED ON ALL PERMITS Z AMPS Z VOLTS PHASE
VALUE OF WgRK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Meters
Commercial(Main) Service
❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
110-100 amps 1110 1-15 Oamps =]151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESS RY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l00amps 101-200amps
Appliances: 0-30amps 31-100amps'I 101-200amps
A/C Circuits: 0-60amps 61-100amps'i
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign [I Smoke Detectors_Qty 11 Tran formers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Cane/Safety Inspection ❑Panel Change ❑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 pd ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any W er state or local law regulation construction or the performance of
construction.
Property Owners Name ?iErv2,AMPrN PtOM- Phone Number 90H —Z`{ 1 i V S I
,1 S nv4
Electrical Company - CANT}lowf t=1—ECMZ.iZ1� C_o"Iy1 R1ce Phone 164— 3rr-(-61S-6 FaxgGY_Yy_eoc7
Co.Address: 23L-1 5 gfz rmrv�j fL9 City, `3' -�C State F(-- Zip 322-( (3
nseHolder (Print): Lt to Certification/Registration# ECoo6cXoZ(
I.otarized Signature of License Holder —
�01 Puk/ KpF1ENSTUDn1N
w COMM1SS10N p EE 4R14brn and subscribe be e this day of l� e� 20 L
* * EXPIRES,Oct°bar 61 2016
B1h,,6,arr64iature of Notary Pub ri�c / -
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