1021 Atlantic Blvd Unit 985 low volt 2012 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
.3
v� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
12-00001628 Date 11/05/12
Application Number . . 1021 ATLANTIC BLVD
Property Address . . . . .
Tenant nbr, name . . . . . . 985 LA FITNESS
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
LOW VOLTAGE ONLY
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Owner Contractor
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EQUITY ONE ATLANTIC VILLAGE, TAYLOR COMMUNICATIONS INC
16 NE MIAMI GARDENS DR 4495-304 ROOSEVELT BLVD # 331
JACKSONVILLE FL 32210
ATTN: TREASURY DEPT
MIAMI BEACH FL 33179 (904) 332-8585
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Permit . .
. ELECTRICAL PERMIT
Additional desc . . LOW VOLTAGE ONLY plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 5/04/13
Fee summary Charged Paid Credited Due
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. 00
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. 00
Permit Fee Total 90 . 00 90 . 00 00 . 00
Plan Check Total • 00 . 00
Grand Total 90 . 00 90 . 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 /f
800 Seminole Rd, Atlantic Beach, FL 32233 �2 l
yh(904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: 102--1 Zl 5d'13� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
Residential (Main) Service
-0-100 amps --101-150amps 151-200amps amps # of Meters
Commercial(Main) Service
_0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
-0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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 Sign Smoke Detectors_Qty .- Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Bu t/Damage�d/Meter Can Safety Inspection Panel Change OH to UG
Other: V
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. Y � 6Fn - ; 3 " S`
Property Owners Name t ' ofd' PhoneNumber
Electrical Company f�fice Phone '779 Uy a Fax
Co. Address: —L$5 IA �" - ��{9 /2 /city ��— r' State��Zip 3a�
License Holder(Print)• V �in State Certification/Registration#
Notarized Signature of License Holder
�'" JOSEPH H.WELSH Worn and subscribed be ore me th' 0'2 da f ld V,4vl.� 20 J Z
:�• '`'' :
MY COMMISSION#EE016305 Signature of Notary Public
EXPIRES August 10,2014
(407)398-0153 F1wWallotarySerAc®.00m