1089 Atlantic Blvd - New Service New Bldg (`'..
` s� CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
'� °° ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\ J1I1W`'
ELECTRICAL PERMIT
i MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -205
Job Type: ELECTRIC ONLY
Description: NEW SERVICE (15 -CNEW -1297) NEW BUILDING
Estimated Value:
Issue Date: 2/1/2016
Expiration Date: 7/30/2016
PROPERTY ADDRESS:
Address: 1089 ATLANTIC BLVD
RE Number: 177616 -0000
PROPERTY OWNER:
Name: ASHLAND INVESTMENT, INC.
Address: 7880 GATE PKWY SUITE 300
GENERAL CONTRACTOR INFORMATION:
Name: ARC FLASH ELECTRIC, CORP
Address: 406 Madison AVE Suite 7 QA ALLEN JAMES EIMERS
Phone: 904 - 579 -4629
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Commercial Electrical $140.00
Trade Permit Base Fee $55.00
Total Payments: $199.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION Ale°
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ,J7)
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: • : • A - slvki, A , . r. cV-1 1- PERMIT # j i Z9
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS 2 VOLTS 3 PHASE
VALUE OF WORK $ 10
NEW SERVICE ❑ Overhead T Underground igiT Underground up Pole
:Residential (Main) Service
00 - 100 amps :101 150amps ! 200amps amps # of Meters
Commercial (Main) Service
00 -100 amps 7,101- 150amps :151- 200amps 1*OC) amps :CT Service amps
Conductor Type 3/0 Size A "
:Mufti- Famil (Main) Service
10 amps :101- 150amps :151 200arnps : amps # Unit Meters
Temporary Pole 0 amps
SERVICE UPGRADE amps f1 CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps : 150amps ' 1200amps amps CT Service amps
ADDITIONS, REMODE , : P IRS, BUILD -' TS, ACCESS ' Y TRU TURES, ETC.
Outlets /Switches: ':T MA 0- - la .s ' 1 -1 10a • 101- 200amps
Appliances: 111 1- 0 ps Viil 1 -1 ,, 101- 200amps
A/C Circuits: Ina 1 -.1 ;mss vim 6' - t a .
Heat Circuits: `� # re 't• @rr iry
Number of Lighting Outle I lu.' g Fr ture' : ;,
OTHER ELECTRICAL PROJECTS
_=Swimming Pool J Sign :Smoke Detectors _Qty iJTransforrners KVA :Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can :Safety Inspection Panel Change ... OH to LIG
Other:
'VEIL MIN
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 perrnit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name , \0. \le4Vr,41 t Y\C- Phone Number
Electrical Company A( VICIS 1N Office Phone 904- 701 - 5420Fax Q44-7l`1 -001 j
co..A.ddress: k-A0(0 X.AA\ ov7 Aqe. 1 61-a City Ornlye Kia(k. State - Zip 5e-0493
License Holder (Print): A • A State Certification/Registration # 5• V5003'571
Notarized Signature of License. Holder / C '
e l
JESSICA GAIN Sworn and subscribed before me this r day of (14/1.U.0 -ri/ _ 20 462
Oi CammlaIon 9 FP 909348 /
Expires August 13, 2019 S of Notary Pub1i
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