363 Atlantic Blvd TP01 2013 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
J
N� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002223 Date 2/26/13
Property Address . . . . . . 363 ATLANTIC BLVD
Tenant nbr, name . . . . . . TP01
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
TP01 60 amps
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Owner Contractor
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SHOPPES OF NORSHORE LLC D.L.WILLIAMS ELECTRIC CO, INC
P.O. BOX 330108 11630 COLUMBIA PARK DR. EAST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258
(904) 262-8005
-----Permit
. ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/25/13
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Other Fees .
STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summaryCharged Paid Credited Due
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--------- ----------
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: 3(o3 * 'CQ-o k PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS Z Lf O VOLTS I PHASE
VALUE OF WORK$ 100- OCA
NEW SERVICE Overhead Underground OT Underground up Pole
Residential(Main)Service
0 0-100 amps 0101-150amps 0151-200amps 1 amps #of Meters
Commercial(Main) Service
10-100 amps i_1 101-150amps 0151-200amps 7 amps [-CT Service amps
Conductor Type Size
Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters
Temporary Pole i/_i2G_) _amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
111100 amps 0150amps i_,200amps [ amps [ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 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 C]Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection ❑Panel Change 0 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 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 c kk0?VES OF NO2SNOiZE LLC Phone Number
Electrical Company NN`%,L1aC^S :f_-t,CCTCZ`c. Lo. '"'C- Office Phone 90q-Z&?-$6DSFax VA-ZGZ-Ml
Co. Address: Wo30 CVuMa(a PK- DO- City State FL- Zip 32251
License Holder(Print): L-La t ` State Certification/Registration# CC-
Notarized Si nature of License Holder
FAWN OUTT011 orn and subscribed before m s -20-6
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Ott gnature of Notary Public
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