645 ATLANTIC BLVD - ELECTRIC FOR SIGN (--
r' _� CITY OF ATLANTIC BEACH
9
800 SEMINOLE ROAD
-4. ATLANTIC BEACH, FL 32233
\j'.40;319',.
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: ELEC18-0002
Description: ELECTRIC FOR SIGN
Estimated Value: 0
Issue Date: 6/8/2018
Expiration Date: 12/5/2018
PROPERTY ADDRESS:
Address: 645 ATLANTIC BLVD
RE Number: 170662 0000
PROPERTY OWNER:
Name: 645 ATLANTIC HOLDINGS LLC
Address: 619 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: EMPIRE ELECTRIC INC
Address: 6999-2 Merrill RD #351
JACKSONVILLE, FL 32277
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
3.st CITY OF ATLANTIC BEACH
'm 800 Seminole Rd,Atlantic Beach,FL 32233 E.- k -0002
Ph (904)247-5826 Fax(904)247-5845
S " S1qn lF-b�?
JOB ADDRESS: 5 1- iW T� /�� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS C AMPS 2/ ) VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE n Overhead ❑ Under round
Underground ❑1 Underground up Pole
_ . Residential (Main) Service
0-100 amps .101-150amps ;:151-200amps U amps #of Meters
Commercial(Main) Service
0-100 amps 1101-150amps ;'151-200amps amps Ll CT Service amps /1'
Conductor Type Size
GMulti-Family(Main)Service It
G0-100 amps O 101-150amps L 151-200amps o amps #of Unit Meters I
ETemporary Pole D amps 'e
SERVICE UPGRADE f: amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L-100 amps L''150amps L200amps G amps UCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 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:
OTHER ELECTRICAL PIjO•JECTS
;-Swimming Pool Sign °Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
• Qty volts/amps VALUE OF WORK$
j REPAIRS/MISCELLANEOUS
t_Replace Burnt/Damaged Meter Can Safety Inspection
LPanel Change DOH to UG
Other: n wee-' €.Y/3l r /1V _,U)
-t______________
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 Name6 i Phone Number t/ )3 4 8(4
Electrical Company 1 �� .6/6-07:e C �' Offtce Phone "/ Fax j- s`%„I
Co. Address: 0 , a City c.J State Fl .Zip, Z) J—
License Holder(Print):/*--'( ^P lz-v' S Q� ate --• cation/Registration# -Gy 4
l6 b`)
Notarized Signature of License Holde /-
+'' ; JAMES M SULLIVAN Sworn and subscribed before m this! ' 4 S.y .f . n se___ 2o(�
': MY COMMISSION#FF974214 '�
. 3 „ - EXPIRES March 22,2020 Signature of Notary Public c�—�
(407)399-0153 Flartdallotaryservke.00m