695 Atlantic Blvd ELEC20-0001 Remove All NMB ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY SEPARATE ELECTRIC ELEC20-0001
TA, Zc ISSUED: 3/20/2020
PLANS PERMIT EXPIRES: 9/16/2020
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR REMOVE ALL NMB FROM
695 ATLANTIC BLVD MULTIFAMILY SEPARATE $500.00
CEILING AREA
ELECTRIC PLANS
TYPE OF I REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170656 0000 SALTAIR SEC 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
EMPIRE ELECTRIC INC 5810 Macy Avenue JACKSONVILLE FL 32211
OWNER: ADDRESS: CITY: STATE: ZIP:
SOLOMON PROPERTIES
INC 14255 BEACH BLVD JACKSONVILLE FL 32250
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 REPAIRS AND MISC 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 $2.00
Issued Date: 3/20/2020 1 of 2
,;,s'-'''r% ELECTRICAL COMMERCIAL OR PERMIT NUMBER
,. ?iir ...„ ELEC20-0001
�. ..,..,@ s, MULTIFAMILY SEPARATE ELECTRIC
.*.)11 = ISSUED: 3/20/2020
\c...._."—ori � PLANS PERMIT EXPIRES: 9/16/2020
TOTAL: $94.00
Issued Date: 3/20/2020 2 of 2
"ALL ON
Electrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
•
800 Seminole Rd, Atlantic Beach, FL 32233 E LLL aU COQ l,
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: ; / „/ii T/ RD' PROJECT VALUE$ ��CU,00
lc,r C? 6 kJ
JEA INFORMATION REQUIRED ON ALL PERMITS: r)0 AMPS z.qo VOLTS I PHASE
71 NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
DResidential(Main)Service:
❑0-100 amps D101-150amps 0151-200amps ❑ amps #of Meters
Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0.100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
! 1 TEMPORARY POLE: amps
E SERVICE UPGRADE:0 amps :CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100 amps 0150amps 0200amps 0 amps ❑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:
❑Swimming Pool:Sign QSmoke Detectors (Qty) Qrransformers KVA OMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
[7f REPAIRS/MISCELLANEOUS:
:Replace Blip^t/nam2Oeri Meter Can OSaffety_nspgction :Paul Change EOH to UG
other: �� 1)1()\)e, ��l L m 'y1,:1 Updated10/17/18
Permit becomes void if wore does not commence within a six month period or work is suspended or abandoned for six months. I nereby 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
construOwnercName: s()I(J U T 4 Phone Number: 70'2y-12.5n
Electrical Company: E �p,�I�t Q Inc. Office Phone: rj-7777 Fax:0 ' )3
) �
Co,Address: ID f(N'1(t�k� I1 U City: J j, V'I i Se, State: F1.—Zip: 220
License Holder:jr C in (/Lei 5 Q A/j • State Certification/Registration#: Ec 13 an(f-(c&
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me this WI day of 1)Lj I ,20 24 in the ate of Florida,County of 1)t,fc•
JAMES M SULLIVAN Signature of Notary Public
MY COMMISSION 1t FF974214
yea EXPIRES March 22,2020 (Personally Known OR( roduced Identification
yr ise-0 u Fixaar+a,rrs.nr.com ype of Identification:
(0._
' Jr
Cash Register Receipt Receipt Number
City of Atlantic Beach R12027
A
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ELEC20-0001 Address: 695 ATLANTIC BLVD APN: 170656 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 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: R12027 $94.00
Date Paid: Friday, March 20, 2020
Paid By: EMPIRE ELECTRIC INC
Cashier: CT
Pay Method: CREDIT CARD 4
Printed: Friday, March 20,2020 1:50 PM 1 of 1
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