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
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Application desc
LEASING OFFICE
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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
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-----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
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Char ed Paid Credited
Fee summary g ----Due---
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. 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