1021 Atlantic ELPP18-0027 ELECTRICAL COMMERCIAL OR PERMITNUMBER
'p
MULTIFAMILY DETAILS PER BLDG ELPP18-0027
ISSUED: 11/28/2018
y V PLANS PERMIT EXPIRES: 5/27/2019
INSPECTIONMUST CALL • , . DAY INSPECTION.
. . • . r
CODE, OF • . OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
• . ADDRESS: r • OF • '
1021 ATLANTIC BLVD 953- ELECTRICAL COMMERCIAL OR Outside LED Lights Units 11-
975 MULTIFAMILY DETAILS PER 17 $2275.00
BLDG PLANS
TYPE OF • BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS:
COASTAL ELECTRIC 2759 ST10HN BLUFF RD JACKSONVILLE FL 32246
COMPANY
• ADDRESS:
EQUITY ONE ATLANTIC NORTH MIAMI
1600 NE MIAMI GARDENS OR FL 33179
VILLAGE INC BEACH
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELEC REPAIRS ANO MISC 4550000-3323000 0 A
ELECTRICAL RASE FEE 455-0000-322-1000 0
STATE DBPR SURCHARGE 455-0000-2090700 0
Issued Date:11/28/2018 1 of 2
ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP18-0027
" ISSUED: 11/28/2018
PLANS PERMIT EXPIRES: 5/27/2019
STATEDO SDRCHARGE JRS-DWO-108-0600 D Sd.OD
TOTAL:$94.00
Issued Date:11/26/2018 2 of 2
ION
..AUL
A Electrical Permit Application 14IGHLIG14TED IN
City of Atlantic Beach Building Department GRATIS REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233 �11 QQQQ��QQ
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#ELffik Z6Z7
JOB ADDRESS: 4V,7�0Atlantc Blvd Units 11-17 PROJECT VALUE$$2.275.00
JEA INFORMATION REQUIRED ON ALL PERMITS: zoo AMPS 2pa'. VOLTS 3._' PHASE
E:1 NEW SERVICE: ❑Overhead [)Underground [)Underground up Pole
1n-Residential(Main)Service:
C30-100amps 0101-150amps 0151-200amps damps #of Meters_
[)Commercial(Main)Service:
130-100amps [)101-150amps [)151-200amps _amps E]Cf Service_amps
Conductor Type Size
CIMuiH-Family iMain)Service:
OD-100 amps 13101-150amps []151-2DOamps [3_amps #of Unit Meters_
❑TEMPORARY POLE:_amps
SERVICE UPGRADE:[]____amps [3CTService_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
[]100amps 0150amps I]200amps 0 amPS [3CTSewice_amps
❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Swhches: 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:
05wimming Pool[]Sign 05moke Detectors (Qty) (]Transformers KVA []Motors HP
❑FIRE ALARM SYSTEM(Requires 3 sets of plan):
qty volts/amps
❑REPAIRS/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can [)Safety Inspection I]Panel Change DOH to UG
updated 10/17/18
ODthef:Replace,� g.00 W MH wall packs Win t
LED well pas
Permit becarrespoki 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. Al provisions of laws and ordinances governing this work will be complied with whether
spedfied or not. The permit does not give authodtyto violate the provisions of any other Mare or local law regulation construction or Me perfarprarce of
construction. 59B-78'K:`
Owner Name: Regency Centers, LP ' :Phone Number; (gQe I
Electrical Company: Office Phone: [9011&a0oze Fax:fao9usesas
Co.Address: city: 2aduomMle State: R_. Zip: [)2248
License Holder: Jeff Sanders State Certification/Registration#. Fuselages
Notarized Signothure(sifUcenseNolder
-7J
The foregoing instrument was acknowledged befor methis Adzyo /l/�l/ .20 the State of Florida,Court
Sharon Sm of
Signature of Notary Publi NOTARY PUBLIC
STATE OF FLORIDA
ersonally Known OR l )Produced Identification Comm#Go187820
Type of Identification:
Cash Register Receipt Receipt Number
0 City of Atlantic Beach R7478
DESCRIPTION
PermitTRAK $94.00
ELPP18-0027 Address: 1021 ATLANTIC BLVD 953-975 APN: 1776020040 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 0550000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 1 0 $35.00
STATE SURCHARGES $4'00
STATE DERR SURCHARGE 455-0000-206: 00 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL1 $94.00
Date Paid:Wednesday, November 28,2018
Paid By:COASTAL ELECTRIC COMPANY
Cashier: CB
Pay Method: CREDIT CARD 8709g pg'
Printed:Wednesday,November 28,2018 3:33 PM 1 of 1 18