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725 Atlantic Blvd #4 ELPP18-0033 elec for sign permit ELECTRICAL COMMERCIAL OR PERMIT NUMBER MULTIFAMILY DETAILS PER BLDG ELPP18-0033 ISSUED: 12/20/2018 PLANS PERMIT EXPIRES: 6/18/2019 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 200 amps/240 volts/single- 725 ATLANTIC BLVD UNIT 4 MULTIFAMILY DETAILS PER phase - electrical svc for sign $385.00 BLDG PLANS TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 1713630000 ROYAL PALMS UNIT 02A COMPANY: ADDRESS: CITY: STATE: ZIP: EMPIRE ELECTRIC INC 5810 Macy Avenue JACKSONVILLE FL 32211 OWNER: ADDRESS: CITY: STATE: ZIP: ATLANTIC-PENMAN LLC 500 S 3RD ST JACKSONVILLE FL 32250 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 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.001 Issued Date: 12/20/2018 1 of 2 .1, Vip ELECTRICAL COMMERCIAL OR PERMIT NUMBER ELPP18-0033 MULTIFAMILY DETAILS PER BLDG ISSUED: 12/20/2018 PLANS PERMIT EXPIRES: 6/18/2019 TOTAL:$94.00 Issued Date: 12/20/2018 2 of 2 r—**ALL INFORMATION Electrical Permit Application HIGHLIGHTED IN GRAY IS REQUIRED. City of Atlantic Beach Building Department 0 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@c b.us PERMIT#:S�,��-o rj'�13 PROJECT VALUE $ �)PL JOB ADDRESS: JEA INFORMATION REQUIRED ON ALL PERMITS:do—AMPS.�2�VOLTS PHASE rl NEW SERVICE: 0 Overheod ClUnderground' [3Underground uP Pole mResidential(Main)Service: #of Meters []0-100amps M01-150amps [3151-200amps []_amps [)Commercial (Main)Service: []o-100 amps [1101-150amps 11151-200amps []—amps []CT Service amps Conductor Type Size []Multi-Family(Main) Service: #of Unit Meters []D-loo amps 0101-150amps []lSI-200amps [3_amps TEMPORARY POLE:_amps F75ERVICE UPGRADE: []_amps [-)CT Service_arrips Fj NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.): rj100amps []150amps 0200amps 0_amps OCTService_amps 0 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30amps 31-100amps —101-200amps 101-200amps Appliances: —0-30amps —31-100amps A/C Circuits: 0-60amps —61-100amPs Heat Circuits: # circuits @_kw Number of Lighting outlets, including Fixtures: El OTHER ELECTRICAL PROJECTS: ty) []Transformers KVA []Motors HP []swimming Pool[ZSign [3Smoke Detectors FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps REPAIRS/MISCELLANEOUS: y Inspection [:]Pane]Change E]OH to UG 7Replace Burnt/Damaged Meter Can Elsafet 0- UpdatedJ0117118 ED)ther: ve ence within a six month period or work is suspended or abandoned for six months. I hereby certify that I ha Permit becomes void if work does not comm ces governing this work will be complied with whether read this application and know the same to be true and correct. All provisions of laws and ordinan 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 -tion. S:V C Phone Number:" construc �r6() P Owner Name: Electrical company:Sm -�-n C- �—�Office Phone:, Fax: Cit y:! Vj��fljle- 'State: Zip: Co.Address: SS - State Certification/Registration License Holder: Notarized signature of License Holder methis lqr�cla of bg-co "�20 in the State of Florida,County of ��y The foregoing instrument was ackno edged before - LLIVAN Signature of Notary Public ...... JAMES M SU#FF974214 My COMMISSION �j Personally Known OR Produced Identification 22,2020 F -S march Type of Identification: _XPIRF 1 IS3 Receipt Number Cash Register Receipt w City of Atlantic Beach R7697 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 ELPP18-0033 Address: 725 ATLANTIC BLVD UNIT 4 APN: 171363 0000 $94.00 ELECTRICAL $90.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC SIGN 455-0000-322-1000 0 $35.00 STATE SURCHARGES $4.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL FEES PAID BY RECEIPT: R7697 $94.00 Date Paid: Thursday, December 20, 2018 Paid By: EMPIRE ELECTRIC INC Cashier: CB Pay Method: CREDIT CARD 31489 Printed:Thursday, December 20, 2018 4:11 PM 1 of 1