1085 Atlantic Blvd Building 4 ELPP22-0002 Elec Change Out (--
=S'r''\'f,s' ELECTRICAL COMMERCIAL OR PERMIT NUMBER
i'" MULTIFAMILY DETAILS PER BLDG ELPP22-0002
'z~ ISSUED: 12/9/2021
;,,,'- PLANS PERMIT EXPIRES: 6/7/2022
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 BUILDING 4 - 12 UNITS
1085 ATLANTIC BLVD MULTIFAMILY DETAILS PER ELECTRIC CHANGE OUT $0.00
BLDG PLANS ALUM-CON
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177391 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
DO VO ELECTRICAL 5432 OAK FOREST DR JACKSONVILLE FL 32211
CONTRACTORS LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
NCM LLC ET AL P.O.BOX 309 BRIDGEPORT CT 06601
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.
r IF -lir lir 11F. lir LIST OF CONDITIONS J
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 $420.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $7 13
STATE DCA SURCHARGE 455-0000-208-0600 0 $4 75
Issued Date: 12/9/2021 1 of 2
r''''te ELECTRICAL COMMERCIAL OR PERMIT NUMBER
�J r ��`•
ELPP22-0002
MULTIFAMILY DETAILS PER BLDG ISSUED: i2/ 00 2i
J
-Ji31 2_1PLANS PERMIT EXPIRES: 6/7/2022
TOTAL:$486.88
Issued Date: 12/9/2021 2 of 2
1-+syr;;, Electrical Permit Application **ALL INFORMATION
IF7).,\ HIGHLIGHTED IN
^' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233nr Phone: (904) 247-5826 Email: Building-Dept@coab.usl/ PERMIT#: E LPI" 0
JOB ADDRESS: /ors- E7z,,,,,b, ,/vd B1144-PROJECT VALUE$ 241 DOC/
JEA INFORMATION REQUIRED ON ALL PERMITS: //90 AMPSZu1 VOLTS i PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps E101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
P TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps E200amps ❑ amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30am ps 31-100amps 101-200am ps
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 ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
p FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace B n Damaged Meter Can �iSafety lnspect'on ❑Pan I Change ❑O to UG
❑Other: ---tom- icy dL ' ert y,A Cj ( — 6p� Updated 10/17/18
Permit becomes void if work dries 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: /J ./ `4 L .< 74L Phone Number:
Electrical Company: DO VD i-r eC,f i(-4-- / Office Phone: fD v-707 Z Li 1 AiFax:
Co.Address: 76/3 E '6LIC�� j � City: r�l1C�Cfo ft r-6 L..- State: "�i Zip: Z? Z 1 Sr
License Holder: v� / ,P.,---,P.,---, , State Certification/Registration#: (Cf-kb 86 3
Notarized Signature of Lise Holder
71/
The foregoing instrument was acknowledged before me this{-) day of A 1 y ,2022,in the State of Florida,County of n I)VII L-
0 CHRISTIAN GILES Signature of Notary Public //7/// A9
•• ••• ;,, MY COMMISSION#HH 117153
=''•--„ �roi EXPIRES•April13,2025 , [ I Personally Known OR[L}/Produced Identification
•'':Fo $4" Bonded TlwNotary Pubic Underwriters Type of Identification: }-L - 10 • I_ -