1021 Atlantic 953-975 ELPP18-0023 AS L:UIii
n+ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP18-0023
Description: 5 Exterior Light Outlets 953-975
Estimated Value: 2500
Issue Date: 9/7/2018
Expiration Date: 3/6/2019
PROPERTY ADDRESS:
Address: 1021 ATLANTIC BLVD 953-975
RE Number: 177602 0040
PROPERTY OWNER:
Name: EQUITY ONE ATLANTIC VILLAGE INC
Address: 1600 NE MIAMI GARDENS DRATTN:TREASURY DEPT
NORTH MIAMI BEACH, FL 33179
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SEASIDE ELECTRICAL CONTRACTORS
Address: 12381 APPLE LEAF DR QA CLARK GEISSMAN
JACKSONVILLE, FL 32224
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
n I, P�h.(904)247-5 26 Fax(904) 247-5845 Z
JOB ADDRESS: 102-1 /-y7�7At�1 t C Z1✓J 'IS-3-17f i��# If- -00 10
JEA INFORMATION REQUIRED ON ALL PERMITS T 0C) AMPS T TO VOLTS 3 PHASE
VALUE OF WOEK$ ZSvo,`>°
NEW SERVICE ❑ Overhead ❑ Underground ❑t Underground up Pole
❑Residential(Main)Service
❑O-100 amps D101-150amps 0151-200amps ❑ amps of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Sim
❑Multi-Family(Main)Service
00-IOO amps 101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole I amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps DCT 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 PROJECTS
❑Swimming Pool ❑ Sign "l Smoke Detectors_Qty ❑Transformers KVA []Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Other: A S� e-jl�Q+cl an �t S 7 OwT I E-7 S
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 peffomrance of
construction. 1 J 'L ///� L
Property Owners Name L-Q t o t I`1 `/0 0, 17 L UI(M,1-1 Phone Number
Electrical Company k.t✓ A l �J� L-��RICA( Office Phone 5-i l- OS3S Fax
Co.Address: /�20 -3 .02.Ac� 13W 023r city state FL zip-?-?2-V4
License Holder(Print): 0 $s N Stale Certification/Registration
Notarized Signature ojLicense Holder ^-7 -
TowclalxESPEscEa Sworn and subscribed before this / ay of 201B
4_ MYCAM1BA5510N YFF929951
Y'a EXPIFEIOria smni Signature of Notary Public
SI `� 9ontlotl Thou WISI R8fc11MwAYrt