751 ATLANTIC BLVD PARKING LOT SG01 0,i, 5-%jk
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
ALL BY 4PM FOR NEXT DAY INSPECTION: 247-S814
JOBINFORMA
Job 10:
Job Type: ELECTRIC ONLY
Description: PARKING LOT LIGHTS
Estimated Value:
Issue Date: 10/3/2014
Expiration Date: 4/11/2015
PROPERTY ADDRESS:
Address: 751 ATLANTIC BLVD
RE Number: 177645-0000
PROPERTY OWNER:
Name: OUR PROPERTIES INC
Address:
GENERAL CONTRACTOR INFORMATION:
Name: LIGHTHOUSE ELECTRICAL CTR.
Address:
Phone:
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
10/03/2014 13:36Lighthouse Electric (FAX)9043840007 P.001/003
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Date: October 3, 2014
To: City of Atlantic Beach
From: Lee Graves
Cover Sheet Plus 2 Page$
Subject: Permit and Request for Early Power
Note: The meter that feeds the sign and parking lot lights
for a large shopping center @ 751 Atlantic burned up.
We have completed the repairs and would like to get
Ahis permit temp-finaled today so we can get JEA back
on site to restore power so the parking lot isn't left
in the dark all weekend. Please call me.at
904,384.0180 with any questions and to arrange
payment. Thanks! Lee
Fax Number: 247-5845
LightIng Your Way
10/03/2014 13:361-ighthouse Elec i , (FAX)9043840007 P,002/003
EY,ECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
ADDRESS: -151 -8GQ� Pt'MANTre.- PERMIT N
JEA INFORMATION REQUIRED ON ALL PERMITS 11 jCa__AM1PS AQS VOLTS I PHASE
VALUE OF WORK$ _T0b"
NEW SERVICE E] Overhead Underground ED Underground up Pole
CResidential (Main) Service
130-100 amps 0101-150amps 0 151-200amps El—amps 4 of Motors
0 Commercial(Main) Service
DO-100 amps 0101-150amps 13 151-200amps 11 amps OCT Service amps
Conductor Type Size
[:Multi-Family(Main)Service
DO-100 amps 0101-150amps C 151-200amps a amps # of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps El CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100amps 0150amps 020'.'iamps 13 amps [ICT Service amps
ADDITIONS,REMODELS,REPAIRS,FUILD-OUTS,ACCESSORY STRUCTURESs 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
E]SwimmingPool CSign 0 Smoke Detectors_Qty OTransformers KVA DMotors_hp
FIRE ALARM SYSTEM (Requires 3 seP. of plans),
Qty_volts/amps VALUE OF WORK S
REPAIR$IMISCELLANEOUS
PRoplace Bumt/Damaged Meter Can 0 Safety Inspection ElPariel Change COH to UG
[]Other-.
Permit becomes void if work does not commence within c�six month period or work is suspended or abandoned for six months, I hereby certify that I have
read this application and know the some to be true and c—'sect. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to%,iullate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name N-MA PhoneNuziber
Electrical Company LT6HTH0U0�__FLffCTXTL,'+%- CAw"r. lc),j c- Office Phone- 10q -flq�619U Fax
Co. Address: 2jliS VROI�N AP city TA.-A State F-1— Zip -IWO
License Holder(Print): -R=MA+Lj) L /S*mte Certification/Registration# rcr-00006ZI
&--irized Signature of License Holder
Norn�.,nd subscribed teFme this day of 2015�
KAAEN STUDZINsiq a
X""_ I 4,f
EXPIRES:October;%%8 bture of Notary P V
10/03/2014 13:36Lighthouse Electric (FAX)9043840007 P.003/003
ARLY POWER AGREEMENT & ARELEASE
CITY oiF ATLANTIC )REACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:
751— 56-01 AT1,4N-rrC- TS(-V-0
Permit No. Service Type(Circle One): Overhead nderground
We,the undersigned General Contractor and Electrician,understand and agree'.
I. "Early Power" is eurely for our construction convenience, it is not required by Codes and does aLf
substitute fop Final Ln;pections or the C/O (Certificate of OccupancyTffiat must be issued betbre occupancy,
and as such is at the discretion of the Building Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspections must havc prior Approval,including meter base connections.
3, OCCUPRney or use of the new qonstruction before a formal CIO qongtitutes fraudulent use of the earl
electric service. Such acAv is expressly prohibited and penalize by The City of Atlantjc BqA
Ordinances. A violation o t is Agreement shall result in a request for prompt removal of electric service
after a twcay-four hour notice.
'N,j 4. "Early Power"release authority is the Electr�cian an or the Contractor and must not occur before:
a Equi ment, devices Atfd fixtures arc ins4 4or blanked off)sa ly,
b'. Panefis complete with breakers and cover,and(laticling re,--- �at final inspection),
Service connection ard grounding is cUmplete.
The electric system has safely pa scd t, ough electrical check.
e. Meter can is 2ermanently marke9with address.
f. Temporary address numbers displayed(Permanent numbers are required for C/O).
5, This fully completed form is to b,.i submitted to the Building Department by hand,mail or fax.
6. Future such Agreements will not be accepted from those who violate any one of the above items.
CONTRACTOR L-zGH7-H0Vje a*LuL-rg 4.,eQfJ-r XVVc- DATE I
PRINTNANM
DATE
ELECTRICI�kV— jw:Z�,_
PRINTNAME
800 Seminole Road,Atlantic Beach FL 32233
Phona:(904)247-5826 Fax: (904)247-5845 http:/Iwww.coab.us revised013009