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435 Atlantic Blvd ELEC19-0005 Menu Board :" 5'— — !)\ s6 1 I fir, ELECTRICAL COMMERCIAL OR PERMIT NUMBER MULTIFAMILY SEPARATE ELECTRIC ELEC19-0005 Zr ISSUED: 9/26/2019 �;,,,r PLANS PERMIT EXPIRES: 3/24/2020 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: I PERMIT TYPE: DESCRIPTION: I VALUE OF WORK: ELECTRICAL COMMERCIAL OR 20 AMP FEED TO MENU 435 ATLANTIC BLVD MULTIFAMILY SEPARATE BOARD $2000.00 ELECTRIC PLANS TYPE OF i REAL ESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170694 0000 SALTAIR SEC 03 COMPANY: ADDRESS: CITY: STATE: ZIP: AMERICAN ELECTRICAL 5065 ST AUGUSTINE RD #13 JACKSONVILLE FL 32207 CONTRACTING, INC. OWNER: ADDRESS: CITY: STATE: ZIP: FRANCHISE REALTY JACKSONVILLE C/O SHAWN KUTHAN FL 32240-1989 INTERSTATE CORP (272-09) 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. FEES 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 Issued Date: 9/26/2019 1 of 2 ,. ...4.,%:, Electrical Permit Application •*ALL INFORMATION k. ��. HIGHLIGHTED IN - City of Atlantic Beach Building Department GRAY IS REQUIRED. ,,,, .yam 800 Seminole Rd, Atlantic Beach, FL 32233 -c_-, L �-Cts- coc� ' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 435 P 1(Intl c ? V\Jc( PROJECT VALUE $ 2„0 JEA INFORMATION REQUIRED ON ALL PERMITS: 1 J AMPS 2.4tVOLTS i PHASE E3 NEW SERVICE: in Overhead ©Underground DUnderground up Pole CResidential(Main)Service: DO-100 amps [ 101-150amps 0151-200amps 0 amps #of Meters flCommercial(Main)Service: �// W 00-100 amps D101-150amps fl151-200amps Ai"Tamps OCT Service amps Conductor Type Size ❑Multi-Family(Main)Service: D3-100 amps 0101-150amps 9151-200amps 0 amps #of Unit Meters 7 TEMPORARY POLE: amps El SERVICE UPGRADE: 0 __amps OCT Service___ _amps ❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps 0 amps al-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: C OTHER ELECTRICAL PROJECTS: ❑Swimming Pool[]Sign OSmoke Detectors (Qty) DTransformers KVA ❑Motors HP ri FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: Replace Burnt/Damageg Meter Can ❑Safety Inspection OPanel Chan�D LJOH to UG they: Q. ed i+3 ehct bu -�d MQM, n( 1 ks • Updated 10/17/18 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for` six months. I thereby 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 uthority to violate the provisions of any other state or local law regulation construction or the performance of construction. (VI c 0O,rA 1 Owner Name: � ) 1 ` S Phone Number: 0 i Electrical Company:Am�.rtCc1(El• 1 l_ i%cal Office Phone: C6t�In-7110 Fax: Co.Address:_'O(J A �,A•uS-kr _�.cn City:• J Mo( State:cls Zip: 3aVrji License Holder: 1 V.. State Certification/Registration#:ec ,'OO,9[, Notarized Signature of License Holder •The foregoing instrument was acknowledged before me this 2 da of i 201, in the State of Florida,County ofA(GLl 1� • Signature of Notary Publi l�uj��._�*.%.4�1.at kW Notary Public State of Florida y 11 Angel N Brooks /Personally Kno OR[ Produc!;,,,r f •�n/ J 41174My Comm+aa+on GG 268810 Type of Identific.''.n• - i [i . , '00,0, Expires t0/t7i2022 Cash Register Receipt Receipt Number City of Atlantic Beach R10490 DESCRIPTION I ACCOUNT QTY I PAID PermitTRAK $94.00 ELEC19-0005 Address: 435 ATLANTIC BLVD APN: 170694 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: R10490 $94.00 Date Paid: Thursday, September 26, 2019 Paid By: AMERICAN ELECTRICAL CONTRACTING, INC. Cashier: CT Pay Method: CREDIT CARD 230091 Printed:Thursday,September 26,2019 10:54 AM 1 of 1 1