900 Plaza #123 - Elec Repairs „ /,
`, CITY OF ATLANTIC BEACH
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� f 800 SEMINOLE ROAD
J � ATLANTIC BEACH, FL 32233
� ' �” INSPECTION PHONE LINE 247 -5814
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ELECTRICAL PERMIT
I MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -340
Job Type: ELECTRIC ONLY
Description: ELEC REPAIRS UNIT 123
Estimated Value:
Issue Date: 2/11/2016
Expiration Date: 8/9/2016
PROPERTY ADDRESS:
Address: 900 Plaza
RE Number: 171725 -0500
PROPERTY OWNER:
Name: SEA OATS ACQUISITIONS, LLC
Address: 645 MAYPORT RD SUITE 5 645 MAYPORT ROAD SUITE 5
GENERAL CONTRACTOR INFORMATION:
Name: PERFORMANCE ELECTRICAL CONTRACTING
Address: 8638 Phillips HWY # 4
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $34.80
Total Payments: $93.80
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) Y 247-5826 Fax (904) 247 5845
JOB ADDRESS: goo L 2� c% Ul.. I cin 1, /73 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS /� AMPS / 7U VOLTS 5
VOLTS PHASE
VALUE OF WORK $�(3 Ob
NEW SERVICE ❑ Overhead n Underground I U Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Unit Meters
Temporary Pole amps I
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: q,.5 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: ,7�
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty I Transformers 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 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 here certify that 1 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. v
Property Owners Name i eg I`' 2_ Phone Number 90q 2f 7 - (,4711--
Electrical Company ►2. Fc,,.Lvl - ,,..A _A-- 0 <c--b 2 ( 0.v porAi 6 . Office Phone 90 - 1 - 71 G 7 9 G(Fax 9 a? - KZS- /Z9f
Co. Address: 3�SK" ZszrvcX /}vC- City 2y State Zip 3
License Holder (Print): 14 ►argil ra State Certification/Registration # �� 13Ot'tb -t 3
Notarized Signature of License Holder 7/ 4 4_
KELLY MOBLEY day of t t'"i��r`� 20 1 V
• • NOTARY PUBLIC Sworn and subscribed before me this
' -
STATE OF FLORIDA / gill ,M „lam Q"`f, ,
'Y! 4�l: Commit t FF09p821 Signature of Notary Public \ KKK r """"
's, ' • i Expires 3/10/2018