899 ATL BLVD PANERA TEMP POLE CITY OF ATLANTIC BEACH
1�
800 SEMINOLE ROAD
J r� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . 14-00001150 Date 7/21/14
Property Address . . . . . . 899 ATLANTIC BLVD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . COM GENERAL DISTRICT
Application valuation . . . . 0
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Application desc
UG ELECTRIC
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Owner Contractor
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EQUITY ONE ATLANTIC VILLAGE OWNER
1600 NE MIAMI GARDENS DR
ATTN:TREASURY DEPT
MIAMI BEACH FL 33179
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc TEMP POLE 100AMPS 1PH
Sub Contractor AEC-ELECTRICAL CONTRACTORS, LLC
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/17/15
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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
9eq CITY OF ATLANTIC BEACH
0 t 800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826? Fax (1904) 247-5845
JOB ADDRESS: YTri ^` r L u,7 ( V c PERMIT# s
JEA INFORMATION REQUIRED ON ALL PERMITS 0"-6 AMPS VOLTS PHASE
VALUE OF WORK$ o`T S 00 Z)
NEW SE VICE ❑ Overhead Underground ❑J Underground up Pole
❑R sidential (Main) Service
❑ -100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑C mmercial (Main) Service p,�
❑ -100 amps ❑101-150amps ❑151-200amps ❑ amps Service rmv amps
C nductor Type Size
[]Multi-Family (Main) Service
17j0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑T mporary Pole ❑ /Qa amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FE DER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑ 00 amps ❑150amps 0200amps ❑ amps ❑CT Service amps
ADDITIC NS, REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Out],-is/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 1_0-30amps 31-100amps 101-200amps
A/C Circuits: __4_0-60amps 61-100amps
Heat Circuits: # circuits (a kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0SNiimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
volts/amps VALUE OF WORK$
REPAIR /MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑O her:
Permit beco es 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 ap ication 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, ot. The pen-nit 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 Number
Electrical Company a EC - f L.aA-V tc.&( Co^-�Y rj-3W_T � C LC- Office Phone 4d7-7aV-T 7 0 Fax
fiQ1n1tftTS ( fed City Raamide j State_F�t_Zip S7-US
License H4 older(Print): �A214Aegg / State Certification/Registration# £ci3aa C o47
Notarizef Signature of License Holder
tiir+-1",
JENNIFER WALKER Sworn and subscribed b re me this I Y day of 20/
MY COMMISSION#FF 011480
= ., EXPIRES:April 24,2017
'�R F Bonded Thru Notary Public Underwriters Signature of Notary Public