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1021 ATLANTIC BLVD #997 ELECTRIC J� ,n CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-893 Job Type: ELECTRIC ONLY Description: 123 curciuts switches for hibbett sports unit 997 Estimated Value: Issue Date: 4/16/2015 Expiration Date: 10/13/2015 PROPERTY ADDRESS: Address: 1021 ATLANTIC BLVD RE Number: 177602-0040 PROPERTY OWNER: Name: EQUITY ONE ATLANTIC VILLAGE, Address: 16 NE MIAMI GARDENS DR ATTN: TREASURY DEPT GENERAL CONTRACTOR INFORMATION: Name: MUNSON & BRYAN ELECTRICAL CO. Address: 3434 STAUGUSTINE RD QA JOHN MICHAEL SCIOLINO Phone: - FEES: State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $73.80 Trade Permit Base Fee $55.00 Total Payments: $132.80 PER I T IS "PROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 1 800 Seminole Rd,Atlantic Beach,FL 32233 ��'`,,,((( �•^` Ph(904)247-5826 Fax(904)247 JoB ADDREss:_997 ATLANTIC BLVD, ATLANTIC BCH FLORIDA ,32233 PERMIT#_15-CINT-537 JEA INFORMATION REQUIRED ON ALL PERMITS _200_AMIPS_120/208 VOLTS_3 PHASE VALUE OF WORK$_25000 NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole (Residential(Main)Service 0-100 amps E 101-150amps 01151-200amps amps #of Meters Commercial(Main)Service 0-100 amps L!101-150amps (_1151-200amps amps _ICT Service amps Conductor Type Sin (Multi-Family(Main)Service 10-100 amps ❑101-150amps 11151-200amps ❑ amps #of Unit Meters (Temporary Pole ❑ amps SERVICE UPGRADE I I amps N CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) I:1100 amps 150amps 11200amps amps 11 CT Service_amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: _26 0-30amps 31-I00amps 101-200amps Appliances: 1_0-30amps 31-100amps 101-200amps A/C Circuits: 5 0-60amps 61-100amps Heat Circuits: 5 # circuits @_15—kw Number of Lighting Outlets, Including Fixtures: _86_ OTHER ELECTRICAL PROJECTS Swimming Pool = Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motom hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORKS REPAIRS/MISCELLANEOUS IReplace Bumt/Damaged Meter Can Safety Inspection 9Panel Change 11OH to UG ❑Other: Permit becomes void ifwork 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 nate or local law regulation construction or the performance of construction. Property Owners Name Phone Number Electrical Company Munson and Bryan Elect Inc. Office Phone 396-6689_Fax 396-1136_ Co.Address: 3434 St Augustine Rd City Jacksonville State_FL Zip 32207 License Holder(Print): John Sciolino S t Certi cafton/Registrafion#EC0001795 Notari r w..^•., KIRKLHEDRICK e" '= Commission#EE 5aeao S o and subscribed be ore me this 1{Z day of 20 €r CommsJuly 7,2015 f .:„h w.amnry*w'r. o......wo-owmia t//• � �`��/i U. 1/ ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS:_997 ATLANTIC BLVD, ATLANTIC BCH FLORIDA ,32233 PERMrr# 15-CINT-537 Signature of Notary Public