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900 plaza 2014 leasing office elec CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 14-00001299 Date 8/13/14 Application Number . 900 PLAZA Property Address . . • • Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 --------------------------- Application desc LEASING OFFICE --------------------------- Contractor Owner _ _ ------------------------ SEA OATS ACQUISITIONS, LLC PHASE ONE ELECTRIC LLC JEFFREY D. KLOTZ 2076 CORONA CT JACKSONVILLE FL 32224 645 MAYPORT ROAD SUITE FL532233 (904) 232-8263 ATLANTIC BEACH ----------- -----Permit . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 109 . 00 0 Valuation . Issue Date • • ' ' 2/09/15 Expiration Date . 2 . 00 Other Fees STATE ELEC DCA SURCHARGE2 . 00 STATE ELEC DBPR SURCHARGE ----------------- ------------------------- Char ed Paid Credited Fee summary g ----Due--- ------- . 00 . 00 Permit Fee Total 109 : 0000 109 . 0000 00 . 00 Plan Check Total 400 . 00 . 00 . Other Fee Total 4 . 00 . 00 Grand Total 113 . 00 113 . 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 .TOB ADDRESS: RMIT# rx VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole DResidential(Main) Service E10-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters F-Commercial(Main) Service ❑0-100 amps 101-150amps Fj 151-200amps amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps -2101-150amps Li151-200amps ❑ amps #of Unit Meters El Temporary Pole El-amps SERVICE UPGRADE ❑ amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps amps ❑CT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: IJZ�_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: GCI- OTHER ELECTRICAL PROJECTS ❑Swimming Pool 7 Sign ❑Smoke Detectors_Qty �j Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$ Qty volts/amps REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can L,Safety Inspection 7Panel Change 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 Na(mee` r Phone Number Electrical Company Y 1'1C�A n.�F\��� Office Phone w ��5a' ax City Y-XX State Zip Co.Address: License Holder(Print): S Certification/Registration# Notarized Signature of License Holder Before me this d 20 Signature of Notary Public