2321 Mayport Rd 15-ELEC-1482 elec for Dollar Tree sign permita
, .41k,
ssl CITY OF ATLANTIC BEACH
- A
— 800 SEMINOLE ROAD
73. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
PI-01119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1482
Job Type: ELECTRIC ONLY
Description: ELEC FOR SIGN
Estimated Value:
Issue Date: 7/1/2015
Expiration Date: 12/28/2015
PROPERTY ADDRESS:
Address: 2321 MAYPORT RD
RE Number: 169398-0410
PROPERTY OWNER:
Name: AMERADA HESS CORP.
Address: PO BOX 696419 PO BOX 696419
GENERAL CONTRACTOR INFORMATION:
Name: ANCHOR SIGN, INC
Address: PO BOX 22737 QA DAVID WAYNE JACKSON
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH All. (TIN OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING(ODES.
ELECTRICAL PERMIT APPLICATION
FILE COPY CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 g L U U L i
Ph (904) 247-5826 Fax (904) 247-5845
MAY 29 `\
JOB ADDRESS: 2321 Mayport Road PERMIT# /4—, L4/ti r l
Ry
JEA INFORMATION REQUIRED ON ALL PERMITS 20 AMPS A:120/B:4.8 VOLTS PHASE
VALUE OF WORK$500
NEW SERVICE ❑ Overhead ❑ Underground nl Underground up Pole
_Residential (Main) Service
0-100 amps - 101-150amps 151-200amps 1 amps # of Meters
=Commercial(Main) Service
=0-100 amps 101-150amps _=:151-200amps = amps ACT Service amps
Conductor Type Size
=Multi-Family(Main) Service
=0-100 amps _101-150amps 1151-200amps amps #of Unit Meters
=Temporary Pole =1 amps
SERVICE UPGRADE amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
=100 amps 150amps 200amps 11 amps =CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: _ # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 0 Sign =Smoke Detectors_Qty .:Transformers KVA _Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
1Replace Burnt/Damaged Meter Can 1Safety Inspection =Panel Change =OH to UG
-Other:
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.
Property Owners Name Dollar Tree Stores,Inc. Phone Number
Electrical Company Anchor Sign,Inc. Office Phone (800)213-3331 Fax(843)576-7208
Co. Address: 2200 Discher Avenue City Charleston State sc Zip 29405
License Holder(Print): David W.Jackson State Certification/Registration # ES0000291
i k _______
Notarized Signatur• ■ • •o d
MEGAN
CORM�
NNWi.pw•' y 14t Ma 15 NV
,,•;<�« 2 ubscribed before his �, day of 20
guC STATE
�. � �Tp�YPU sionfla 71%120 I ,M
:e4 My Commis ignatur • :Notary Public
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 .0 G L5 U Li L ' I
Ph(904) 247-5826 Fax (904) 247-5845
( ) MAY 2 9 I
JOB ADDRESS: 2321 Mayport Road j4PERMIT# L)
RN/
JEA INFORMATION REQUIRED ON ALL PERMITS 20 AMPS A-12°113'4'8 VOLTS PHASE
VALUE OF WORK$500
NEW SERVICE ❑ Overhead n Underground [7.1 Underground up Pole
:Residential (Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
:Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps : amps :CT Service amps
Conductor Type Size
:Multi-Family(Main)Service
0 0-100 amps :101-150amps ❑151-200amps : amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE : amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps : amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 12 Sign :Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
DOther:
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.
Property Owners Name Dollar Tree Stores,Inc. Phone Number
Electrical Company Anchor Sign,Inc. Office Phone (800)213-3331 Fax(843)576-7208
Co.Address: 2200 Discher Avenue City Charleston State sc Zip 29405
License Holder(Print): David W.Jackson State Certification/Registration# ES0000291
r
Notarized Signatur• I ' • 'o d C. AIL
ELAN SIARM Or
c3IMp�� 01 �� ubscribed before his ,4t day of Mar,NOA�Yom�ss irgnatur02• :Notary Public f WI ion t i