469 Atlantic Blvd # 7 2013 safety elec C,te . CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'iJj .�?
Application Number . . . . . 13-00003232 Date 8/09/13
Property Address . . . . . . 469 ATLANTIC BLVD
Tenant nbr, name . . . . . . UNIT 7
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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DIAMOND REAL ESTATE PROPERTIES SPURGEON ELECTRIC INC
6517 LOU DRIVE SOUTH 850489 US HIGHWAY 17
JACKSONVILLE FL 32216 YULEE FL 32097
(904) 225-0671
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . . 00
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/05/14
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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 AL1, 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) 247-58826 Fax
(904) 247-5845
JOB ADDRESS: 4l�� t4 rL t�)-`-i c_ F-5�dVC•2 &E112_ PEF MIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS _ ( PHASE
VALUE OF WORK$ 0.ab—
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
i:1Residential (Main)Service
00-100 amps L:_ 101-150amps _1151-200amps amps #of Meters
OCommercial (Main)Service
C.10-100 amps i 1101-150amps I:11.51-200amps amps i 1C"Service amps
Conductor Type Si7.e
[]Multi-Family(Main)Service
D0-100 amps 7101-150amps ('1151-200amps 1.l amps ii of Unit Meters ._
❑Temporary Pole 0 amps
SERVICE UPGRADE [:1 amps .:I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
i 1100 amps 1 1150amps 11200amps f 1 amps 1CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-1.00amps 101-200amps
AIC Circuits: 0-60amps __ 61-100amps
Heat Circuits; # circuits a? _ kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
'_1 Swimming Pool *.] Sign 11_1 Smoke Detectors_Qty [_:]Transformers KVA L1MDtors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VAL UF, OF WORK$
REPAIRS/MISCELLANEOUS XSafety
'=]Replace Burnt/Damaged Meter Can Inspection f=J Panel Change 1 1014 to Uii
::,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 caTtify 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 b,complied with whether
specified or not. Ilie permit docs not give authority to violate the provisions of any other state or local law regulation cons". ctii�n or the performance of
construction. J
Property Owners Name �Prre?0 in
`
C1 � Phone Number
0
Electrical Company pn� &P Office Phone _ ZZS 7axZZ Sl
Co. Address: 9SD494 1JS . 0W�j - )_Z City St.Itf Zip
License Holder(Print): �0 1 ,epco State C ifieation/Rcgistrati)n#fi ond
Notarized Signature of License Holder o
VICKIE MELLING
Sworn and subscribed before me this day of d 4 d s_�7 2013
MY COMMISSION N Saf29479
MR
EMM;s�,hw26,2916 Signature of Notary Public