403 ATLANTIC BLVD - ELECTRIC "' ' "' . CITY OF ATLANTIC BEACH
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-6111, ,...s,
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
r'�r II �' INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELEC17-0014
Description: TOTAL REMODEL- SHANGE OF SERVICE
Estimated Value: 0
Issue Date: 12/14/2017
Expiration Date: 6/12/2018
PROPERTY ADDRESS:
Address: 403 ATLANTIC BLVD
RE Number: 170703 0000
PROPERTY OWNER:
Name: 403 ATLANTIC BLVD INC
Address: PO BOX 330108
ATLANTIC BEACH, FL 32233-0108
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: B & G REFRIGERATION
Address: 3230 KLINE RD QA PATRICK BARGER
JACKSONVILLE, FL 32246
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ��C
Mk-0_6c, Ph (904) 247-5826 nnFax (904) 247-5845 ( 7 -00 (4--
JoB ADDRESS: 3\ c 1 ` 1`j l �\ '.-23�< PERMIT# bOn\-14)01
JEA INFORMATION REQUIRED ON ALL PERMITS L/66 AMPS /o/-20 JOLTS 3 PHASE
VALUE OFWORK$Z,Doo . 00
NEW SERVICE Overhead Underground J Underground up Pole
Residential(Main) Service
0-100 amps 101-150amps l 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
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1 I50amps 1200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: $ - 0-30amps 31-100amps 101-200amps
Appliances: 2. 0-30amps / 31-100amps 101-200amps
A/C Circuits: oZ 0-60amps 61-100amps
Heat Circuits: # circuits @ / 0 kw
Number of Lighting Outlets, Including Fixtures: y
OTHER ELECTRICAL PROJECTS
Swimming Pool �' Sign Smoke Detectors Qty Transformers KVA :Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can1,�_i_`S^afety Inspection Panel Change OH to UG 4�
Other _ se,c- . � -11.>,a101 �k!MQ U-\OsQ(`\O l(k c A-U,. � Re-Li JS
: ICU ,1811
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 of any other state or local law regulation construction or the performance of
construction.
Property Owners Name --`' Q1 c \./0i-f\&l.,
Phone Number CAO-1 V2).
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Electrical Company b'N1..1 l ► I. it,
l � Office Phone'1t�J'1'�pT'W a1 Fax gp-k•[Qr ) lc
Co. Address: ' -) YALIUQ / City da-X. State ct Zip -3 -4-AU
License Holder (Print): COS State Certification/Registration# DOO AI
Not ' Si 'c : o d ,r1--....----,--, .:.,.._ _ ,
STEPHANEY STRAHAN
p,` ''HA.; Notary Public-State of Flori orn and subscribed before me t day of ,///d.// 20/7
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