Permit Elec Exterior lights 1085 Atlantic Blvd 2012 CITY OF ATLANTIC BEAQH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001745 Date 11/28/12
Property Address . . . . . . 1085 ATLANTIC BLVD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
INSTALL 18 POLE LIGHTS EXTERIOR
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Owner Contractor
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1085 ATLANTIC LLC MERIDIAN ELECTRICAL SERVICES
5118 N 56TH ST 11919 SUGARBERRY DR
TAMPA FL 33610 RIVERVIEW FL 33569
(813) 760-0142
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . INSTALL 18 EXTERIOR POLE LITES
Permit Fee . . . . 91 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/27/13
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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 Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91 . 00 91 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 95 . 00 95 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITV 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
a
JOB ADDRESS: 16 FS- tf rv— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Ej Underground Underground up Pole
E Residential(Main) Service
E10-100 amps El 10 1-15 Oamps El 151-200amps amps #of Meters
El Commercial(Main) Service
E,0-100 amps 11101-1 50amps El 151-200amps El amps ECT Service amps
Conductor Type Size
E]Multi-Family(Main) Service
E10-100 amps El 10 1-1 50amps E 151-200amps El amps of Unit Meters
El Temporary Pole El amps
SERVICE UPGRADE El amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps 11 150amps E200amps 11 amps LICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 6 1-I 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
El Swimming Pool El Sign []Smoke Detectors_Qty El Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ESafety Inspection El Panel Change 1-1 OH to UG
E Other: N,C-k�
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 NumberCS t3 _?4:6 Y,�,
Electrical Company ,OfficePhone Fax
7
Co.Address: City 1 1 e L.; State Fi- zip_Z3(I
License Holder (Print): LAJ State Certification/Registration# Fe 6"00 2
Notarize Org 06
A...... AMANDAWHrrE -7 J;�r
W1 rZ y ISSION#EE 05734B rn and subscribed before me this' day of 20
FXPIRIES:May 21,2015.
.aqBo!nded FThru Nowy=PW*underoder.s ature of Notary Public
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