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1211 Mayport Rd elec sign permit CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NE]Cr DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-2685 Job Type: ELECTRIC ONLY Description: ELECTRIC - DISCONNECT AND RECONNECT ELECTRICAL FOR SIGN Estimated Value: $1,500.00 Issue Date: 4/19/2017 Expiration Date: 10/16/2017 PROPERTY ADDRESS: Address: 1211 MAYPORT RD RE Number: 177579-0000 PROPERTYOWNER: Name: GIANT JACKSONVILLE, LLC Address: 1806 N FRANKLIN ST GENERAL CONTRACrOR INFORMA71ON: Name: A & M ELECTRIC CONTRACTOR LLC ,ECO002815 Address: 1147 Heartwood DR Phone: 386-734-4864 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 APPRM(ED (YVLY W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES �D THE FLORIDA BUILDWG CODES. ATLANTIC BEACH PERMIT RECEIPT f December 1, 2016 PERMIT DESCRIPTION: ELECTRIC -DISCONNECT AND RECONNECT ELECTRICAL FOR SIGN PERMIT NUMBER: 16-ELEC-2685 ADDRESS: 1211 MAYPORT RD OWNER:GIANT JACKSONVILLE, U-C CITY OF ATLANTIC BEACH 800 SE14NOLE RD State EleC DBPR Surcharge $200 ATLANTIC 8EAC,F.32233 04.1912017 09229 CREDIT CARD State Elec DCA Surcharge $2.00 VISA SALE — CARD XXXXXXX=4N6 Electrical Repairs $35.00 IWOICE 0002 SEQ P� 0002 Trade Permit Base Fee $55.00 — Bao g: 000543 Approval Code: 019550 In"Maw: Matal — Mode: Wirt Ta Arrad: 00 Totals: $94.00 Card Code: M SAILE AKUNT $94.00 CUSTOMER COPY PNO �??' Y� 101 of p.aLwItc Bep'cr' ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax(904)247-5845 G -ELEc- -Z(e)a)-5 JOB ADDRESS: 1211 MAYMRT W. AtLANTIC B�CH,FIT 32233 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS —VOLTS PHASE VALUEOFWORKS 150000 NEW SERVICE El Overhead Underground D Underground up Pole Residential(Main)Service 0-100 amps F 101-150amps 0 151-200amps -1 amps #of Meters I Commercial(Main)Service � 0-100 arrips 0101-150amps El 151-200amps -1 amps 0 CT Servicte_amps Conductor Type Sim— LIMulti-Fandly(Main)Service EO-100 amps :1101-150amps 0 151-200amrps F!, amps #of Unit Meters LiTemporary Pole Ll amps SERVICE UPGRADE _____amps 0 CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 0100amps E1150amps _200amps F1 amps OCT Semice amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps —101-200amps Appliances: 030amps 31-100amps —101-200amps A/C Circuits: —0-60amps 61-100amps Heat Circuits: # circuits Number of Lighting Outlets, Including Fixtures: X - DISCONNECTIRECONNECT or EXISTING ELECTRICAL OTHER ELECTRICAL PROJECTS E Swimming Pool -1 Sign E Smoke Detectors_Qty -Transformers KVA EMotorshp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty—volts/amps— VALUE OF WOPK S REPAIRSIMISCELLANEOUS �Replace Burnt/Damaged Meter Can --Safety Inspection :]Pwe[Change 014 to UG .':-7�_ Of z�, >6h LPcccnncc_4 cy-L " e-1,-c J Pannit becomes void if vaork does Act within a six month period or wrk is suspended or abandoned for six months. I hereby carfiry that I have mad this application and know the same to be free and winter. All provisions of lav�s and ordinances governing this wrk will be complied with whether specified or not The permit does not give authority 0 violate the provisions of my other some,or local law regulation construction or d.perfamance of construction. PmpertyOwnemNmeplk,-"-� -V�'y'),I�-- U—(— Phone Number Electrical Company, 4-y-tc ctl�vhc-�V US-Office Phone_��Ia�i�ax Co.Address: %M City_v�� st't'E� Zipa-ZIQL License Holder(Print): k ;_n/Registration# G�_� 1�� Notarized Signature of Lkeme Aj'saul d subscribed bef day of 20JL�, VfooMaajW#FF7jM 4: E"tRUW S. mum f Notary Pubfit;t N*q u