1021 ATLANTIC BLVD #1,2,3 - ELEC18-0006 ELECTRIC SIGNS r`"'`'% ELECTRICAL COMMERCIAL OR PERMIT NUMBER
`' , j ELEC18-0006
r.„,-:4,-..1,-,- MULTIFAMILY SEPARATE ELECTRIC
yISSUED: 11/19/2018
; PLANS PERMIT EXPIRES: 5/18/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR
1021 ATLANTIC BLVD 953- MULTIFAMILY SEPARATE 2 WALL SIGNS FOR JUMPIN $100.00
975 ELECTRIC PLANS JAX HOUSE OF FOOD
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177602 0040 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
GENERAL SIGN SERVICE 1940 SPEARING ST JACKSONVILLE FL 32206
CORP
OWNER: ADDRESS: CITY: STATE: ZIP:
EQUITY ONE ATLANTIC NORTH MIAMI
1600 NE MIAMI GARDENS DR 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 PAID AMOUNT
ELEC SIGN 455-0000-322-1000 0 $35.00
1
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/19/2018 1 of 2
s
.-51 N ELECTRICAL COMMERCIAL OR PERMIT NUMBER
' MULTIFAMILY SEPARATE ELECTRIC ELEC18-0006
4. ISSUED: 11/19/2018
,,r1 9' PLANS PERMIT EXPIRES: 5/18/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 11/19/2018 2 of 2
r
S
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 r
Ph (904) 247-5826 Fax (904) 247-5845 C LC Cl E3- 0 ('Q�
JOB ADDRESS: /pal 141÷1 art-1'1G iv d - 5u 1 k 1-3 PERMIT #
--1.1c ' &1 Beach , FLoruzA 3a233
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ I 000°i
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential (Main) Service
❑0-100 amps ❑101-150amps ❑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
El 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 ❑150amps 0200amps ❑ amps 10 CT 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
El Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
CREPAIRS/MISCELLANEOU)
0-Replace Burnt/Damaged Meter Can ❑Safety Inspection ['Panel Change ❑OH to UG
51604s RE.itD%''Tumett41 u-ax Muse of Foca"
'Other: CDtlneCT 513ns TO exisTwo Primcu'j. electric. (Primary Eltctric, Sy othe/5)
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. n �
Property Owners Name keel?C '"" 3 den Phone Number (cIo ) 5q 8-700 O
` •,`cr C f� , Office Phone '1.`-(—3 55-m ax .e''�--sS.r—.6S�
Electrical Company 6 r'in stn`I .Cis n �;✓Co. •
Address: )q4 D SPPsi r1 n y 6tr,c ct City j'c4$ a 1l I I-c State FL_Zip 32233
License Holder(Print): 't .d ley 6inzt State Certification/Registration# tTl10001t,7
Notarized Signature of License Holder x E
ti
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
Jos ADDRESS: 1021 f?-t1(:u hc. 31vd - Sulk !-3 PERMIT #
F 1-lctntac. Bloch, Pi-or1d4 3AA-33
Sworn and subscribed before me this (O ' day of kJoven)bcr 2015
Signature of Notary Public cLf-34ab
&p �(1V1r4 tl`(V
oc'sr 01,k SYBIL E.VINSON
* Nt_,- *MY COMMISSION#FF 979548
a1 '°I° c� EXPIRES:August 3,2020
�'f of f‘°a Bonded TM 2udget Notary Services