1085 Atlantic Blvd #43 ELPP24-0052 ApplicationSaS�.yyr„� Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-DeptPcoab.us
"ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
PERMIT #t:
JOB ADDRESS: 1085 ATLANTIC BLVD APT#43 ATLANTIC BEACH EL 32233 PROJECT VALUE $$700
JEA INFORMATION REQUIRED ON ALL PERMITS: 100 AMPS 240 VOLTS 1
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential (Main) Service:
❑0-100 amps ❑101450amps
❑151-200amps
❑Commercial (Main) Service:
❑0-100 amps D101-150amps
❑151-200amps
Conductor Type
Size
❑Mufti -Family (Main) Service:
-0-100 amps M101-150amps
❑151-200amps
Li -amps
❑ amps
❑ amps
❑ TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
PHASE
# of Meters
DCT Service amps
# of Unit Meters
❑ 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:
❑5wimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors
❑ FIRE ALARM SYSTEM (Requires 1 set of digital plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
IM
caReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
AOther: REPAIR METER CAN Updated 10/11/23
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: SEASIDE APARTMENTS Phone Number: 904 785 8272
Electrical Company: OWENELECTRICCOMPANr
Co. Address: 1775 LAKESIDEAVENUE
License Holder: MICKY OWEN
Notarized Signature of License Holder
ABALAOURAS®OWENEC.COM Office Phone: 904 824 9940 Fax:904 826 1568
City: ST AUGUSTINE State: FIL Zip:32084
State Certification/Registration #: EC 0000993
The foregoing instrument was acknowledged before I this a( cday of f -20A'-
RITATHOMPSON ignature of Notary Public WUL
Notary Pubiic . State of Flarfda
Commission # HH 444211 Personally Known OR[ ] Produced Identification
arnd'' My Comm. Expires Sep 1e. 2027 ype of identification:
Bonded through National Notary Assn.
intheState of Florida, County ofk.,Jv I! I`r S