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253 Royal Palms Dr ELEC19-0002 elec for sign permit OFFICE COPY Electrical Permit Application ..ALL INFORMATION - pP HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 EL Cel q - o0o z Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: 253 ROYAL PALMS DRIVE ATLANTIC BEACH,FL 32233 PROJECT VALUE$$SAW 00 JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS_VOLTS_PHASE 13 NEW SERVICE: 13overhead 131./nderground OUndergroundup Pole Otesidential(Main)Service: 00-100 amps 13101-150amps 0151-200amps 11 mps #of Meters OCommercial(Main)Service: I30-100 amps 13101-150amps 13151-200amps CL-amps OLT Service amps Conductor Type Size CIMulti-Famity(Main)Service: 00-1DOamps 0101-150amps 13151-200amps (]_amps Pr of Unit Meters_ ❑TEMPORARY POLE: amps ❑SERVICE UPGRADE:(]_amps OCTService_amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.): )]100amps 0150amps 0200amps _amps MService 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 l]+ SIgn QSmoke Detectors_(Qty) [3Transformers KVA OlMotors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): qty volts/amps REPAIRS/MISCELLANEOUS: []Replace Burnt/Damaged Meter Can (]Safety Inspection OPanel Change (]OH to UG MheC CONNECT SIGN READING'pf Plairot#IneeY TO EXISTING SIGN CIRCUIT PROVIDED BY OTHERS updored10/17118 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. Owner Name: SHOPPES OF LAKESIDE INC Phone Number: 0104)NI-1151 E lectrical Company: SHARK SIGNS OF NE FLING Office Phone: 0100 TRIANa Fax: Co.Address: MIT SHEN AVE city: ACKSONVILP State: FL Zip: 02205 License Holder: State Certification/Registration#: U120D04N Notarized Signature of License Nobler _ _tlraLAcknowledged before riis ay of 2 in the tate o F nda,County of i+. AMBERRAUL=k 7, Signature of Notary Public NV LO'MR-SSSIGN 1 G20731I5 L n S.play 15 2011 personally Known OR ]Produce I$�entiflcation L_ alvb rs Type of Identification.