973 Atlantic Blvd 15-ELEC-1481 elec for sign permit 0 Lj-V-171"/„
,-• ' sA
Is) CITY OF ATLANTIC BEACH
;-. A "s?) 800 SEMINOLE ROAD
-15 7 ....r., ..., :!..: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
4'1.0,1119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1481
Job Type: ELECTRIC ONLY
Description: ELEC FOR SIGN
Estimated Value:
Issue Date: 6/29/2015
Expiration Date: 12/26/2015
PROPERTY ADDRESS:
Address: 973 ATLANTIC BLVD
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: CNS SIGNS, INC.
Address: 263 EDGEWOOD AVE QA KENNETH BRINGLE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC: BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: C('7' A-1 lGt,K,1 L '61 Jc PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I 11 Underground up Pole
;Residential(Main) Service
0-100 amps 101-150amps 151-200amps 1 amps #of Meters
LiCommercial(Main) Service
00-100 amps !101-150amps 1 151-200amps [• amps 1 ;CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole .1 amps
SERVICE UPGRADE I. amps Li CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L100 amps '150amps C-200amps I 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 ELECTRICALOJECTS
_- Swimming Pool Sign ' Smoke Detectors Qty OTransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
=Replace Burnt/Damaged Meter Can i I Safety Inspection i Panel Change I SOH to UG
[1 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
-ead 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
>pecified 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
:onstruction.
?roperty Owners Name 544.0 leis 6A-el Phone Number
3lectrical Company CAS c i G1' ✓l S 4c-• Office Phone, f 25-33 4-3FaxTP 11‘2.5 f?f .
■
-2o. Address: _ , Iii,'. 1l♦ 6 / City -5-P9c, State ', Zip 37-2,61
License Holder (Print): `j ; S_• ertifi • Regist .n# �,5 Goo a 5 cz
Notarize, ': r • . ',• • I ' ' III, �//�:af%A.`i�,
esty
,04, Notary
; Shirley Public State of F1oBefo.t• me this d. of / . 20
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al. ture of Notary ' et