Permit Elec HMO8 1085 Atlantic Blvd Bldg 8 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001777 Date 12/05/12
Property Address . . . . . . 1085 ATLANTIC BLVD BDG 8
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
HM08 HOUSE METER BLDG 8
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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 . . HM08 HOUSE METER FOR BLDG 8
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/03/13
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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 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 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: L75- APAK4,C_ 1'r) PERMIT#
V.
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Ca Underground Underground up Pole
' Residential (Main) Service
110-100 amps -1 101-150amps I _151-200amps amps of Meters
�jc
tTnmercials(Main) Service
t100 amp 0101-150amps 11 151-200amps amps �CT Service amps
ou-n-ductor Type Size
I Multi-Family(Main) Service
110-100 amps 10 1-1 50amps 151-200amps L1_amps of Unit Meters
Temporary Pole E amps
SERVICE UPGRADE I I amps F1 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
.100amps --1150amps �200amps '�_amps I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
i'-'Swimming Pool 1- Sign Fi Smoke Detectors Qty I I Transformers KVA ]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
_10H to UG
1 ]Replace Burnt/Damaged Meter Can Safety Inspection �Panel Change I
]Other:
T!� S
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 h ve
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 '747- Phone Number
Electrical Company —Office Phone Fax
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Co. Address: City 91' V/�( V j Ij 1,L) State f( Zip
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License Holder (Print): lbtcr ZTI'14� State Certification/Registration#'Fe 31'w 2-
Notarized Signature of License Holder
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