1021 ATLANTIC BLVD #989 -DOLLOR TREE - ELECTRIC,
,. 1_,J_\1_17 .,„
' ,„
„ ,. . ,
`s, CITY OF ATLANTIC BEACH
(:). .r - 800 SEMINOLE ROAD
„ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J131 9`-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1437
Job Type: ELECTRIC ONLY
Description: UNIT#989 DOLLAR TREE NEW 100AMP FEEDER, 3
OUTLETS
Estimated Value:
Issue Date: 6/19/2015
Expiration Date: 12/16/2015
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
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Switch Outlets $1.80
Trade Permit Base Fee $55.00
Total Payments: $95.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
i I /1�Q f, '� CITY OF ATLANTIC BEACH
+1 �� C'800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)24 -5845
JOB ADDRESS:—/81---144471c. 8/vd 4+ q e PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS
VOLTS PHASE
VALUE OF WORK$ 91C20
NEW SERVICE ❑ Overhead El Under round
__ Residential(Main)Service g Underground up Pole
00-100 amps 0101-150amps l.'151-200amps ::1 amps #of Meters
❑Commercial(Main)Service
10-100 amps O I01-150amps 151-200amps amps !'
Conductor Type Size P ACT Service amps
CMniti-Family(Main)Service
C0-100 amps 0101-150amps !:151-200am s
amps #of Unit Meters
OTemporary Pole 0 amps p ,
SERVICE UPGRADE
i.l amps J CT Service .
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) �P 1
100 amps :1150amps 0200amps i:' amps OCT P)5 c6Lq _—
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRU p fYry1
Outlets/Switches: 4 0-30amps __,, _3 I-100amps t o `r
tj(
Appliances: 0.3flam s _ = r_�_ Vl
A/C Circuits: p 31-100amps _ N e �/
0 60amps _ 61-100amps (�( °
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures: lirk T
OTHER ELECTRICAL p,ROJECTS WOK/C..
•
;.]Swimming Pool i Sign ' Smoke Detectors . Qty Transformers_
FIRE ALARM SYSTEM (Requires 3 sets of plans) "'`-C�,�1 � �J�
Qty volts/amps_ tit(I b ( /�
REPAIRS/MISCELLANEOUS / Tx (6). i
!Replace Bumt/Damaged Meter Can ¶]Safety Inspection, 0 Pant `"`I`'!
t]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 daily other state or local law regulation construction or the performance of
construction.
Property Owners Name !)tur Tiee ✓ep7-
Phone Number S/6-S. 7-IS 80
Electrical Company L-c,N e (JCt'&yl1 in.
Office Phone l?78 ,39'Slax 3(-a53-066
Co.Address:,47/2_kt,,t)U,LC'r'" (�
City l,heM/kl State py Zip 11716
License Holder(Print): • ,, /Q(1 11 ` tate Certification/Registration# EC l.O0S q 53
I
Notarized Signature of License Holders n
•
Sworn and subscribed be ore me ' J
Gary J.Robbins
I'day of V 20 /�
Notary Public State Of Newyork ignature of Notary Public A,
Qualified In Nassau County
Li.#01 12065
Commission Expires - • \
•
;., ..NEW RK STATE
. ,., 13RIVFR LICENSE
• ID, 377 436 804 CLA$$0
KEN NETH,JJ
24(1 BOSTON IN
MASSAPEQUA tri i1758
DOB: O1.10;73
SEZ M EYESSt. HT 6.11
E NONE
^'xL��{�f�-�/,J.; P NONE
4hhil ISsuE w 01 4610 01.1 a 18 MARK 0101
•
•
•
•