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363 Atlantic Blvd Unit 2 ELPP25-0051FOR INTERNAL OFFICE USE ONLY PERMIT # Wf-'��O- 0051 "ALL information required to process JOB ADDRESS —072 1j L P"-71yw PROJECT VALUE $ JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS 2 VOLTS 240 PHASE ❑ NEW SERVICE: ❑ Overhead ❑ Underground ❑ Underground up Pole ❑ Residential (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ amps # of Meters ❑ Commercial (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ amps ❑ CT Service Conductor Type Conductor Size ❑ Multi-Famil (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ ❑ TEMPORARY POLE: ❑ SERVICE UPGRADE: ❑ amps amps OCT Service ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑ 100 amps ❑ 150 amps ❑ 200 amps ❑ amps amps # of Unit Meters amps ❑ CT Service ❑ ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: ELECTRICAL PERMIT APPLICATION Appliances: City of Atlantic Beach Building Division A/C Circuits: 800 Seminole Road, Atlantic Beach, FL 32233 Heat Circuits: Phone: (904)247-5826 Email: Building-Dept@coab.us FOR INTERNAL OFFICE USE ONLY PERMIT # Wf-'��O- 0051 "ALL information required to process JOB ADDRESS —072 1j L P"-71yw PROJECT VALUE $ JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS 2 VOLTS 240 PHASE ❑ NEW SERVICE: ❑ Overhead ❑ Underground ❑ Underground up Pole ❑ Residential (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ amps # of Meters ❑ Commercial (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ amps ❑ CT Service Conductor Type Conductor Size ❑ Multi-Famil (Main) Service: ❑ 0-100 amps ❑ 101-150 amps ❑ 151-200 amps ❑ ❑ TEMPORARY POLE: ❑ SERVICE UPGRADE: ❑ amps amps OCT Service ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ❑ 100 amps ❑ 150 amps ❑ 200 amps ❑ amps amps # of Unit Meters amps ❑ CT Service ❑ ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30 amps Appliances: 0-30 amps A/C Circuits: 0-60 amps Heat Circuits: # circuits @ ❑ OTHER ELECTRICAL PROJECTS 31-100 amps 31-100 amps 101-200 amps 101-200 amps 61-100 amps kw # of Lighting Outlets, Including Fixtures: Generator ❑ Whole house (ATS) or ❑ Stand alone ❑ Swimming Pool ❑ Sign ❑ FIRE ALARM SYSTEM (Requires 1 set of digital plans): Quantity volts/amps PAI RS/MISCELLANEOUS: ❑ Replace Burnt/Damaged Meter Can Safety Inspection ❑ Panel Change ❑ OH to UG ❑ Other: amps amps NOTICE: Permit becomes expired if work does not commence within a six month period or work is suspended or abandoned for six months. 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 OWNER Namer Phone55X7Z_ 1%e7._f 7q6 ELECTRIC COMPANY Name��,�� Ct` /e e- �,2 /SPhone Address 1-7- 416 6 f e- � LGty � plc 50.-7- �Jt`14tate �LZip �j Z L Z License Holder .,< C ; v /,(AoState Certification It �'� 13 OU 6 03( Email 24t RP- celi4 ` "In lieu of signed, sworn and notarized signatures of the property owner, agent and/or contract i5rOd u A en'al �� p erclare that I have re d and examined the foregoing application and that the facts stated in it are true and correct." aor-lt-W, A '5c 0 Pxv -'ery 17 -26 o2o 25r CONTRACTOR PRINT OR PE NAME OF CONTRACTOR DAT Electric Permit Application 07.03.2025 ELECTRICAL COMMERCIAL OR JS i� MULTIFAMILY DETAILS PER BLDG PLANS PERMIT PERMIT NUMBER ELPP25-0051 ISSUED: 9/26/2025 EXPIRES: 3/25/2026 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. ELECTRICAL COMMERCIAL OR 363 ATLANTIC BLVD 2-14 MULTIFAMILY DETAILS PER SAFETY INSPECTION - UNIT 2 $250.00 BLDG PLANS 169730 0000 ATLANTIC BEACH RIVER CITY ELEC 12496 NE GATELY OAKS L JACKSONVILLE FL 32225 CONTRACTORS NSHORE LLC PO BOX 357742 GAINESVILLE FL 32606 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. LIST OF • . • Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 SAFETY INSPECTION 455-0000-322-1000 0 $50.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 Issued Date: 9/26/2025 1 of 2 ELECTRICAL COMMERCIAL OR PERMIT NUMBER ') JS% MULTIFAMILY DETAILS PER BLDG ELPP25-0051 ISSUED: 9/26/2025 PLANS PERMIT EXPIRES:3/25/2026 TOTAL: $109.00 Issued Date: 9/26/2025 2of2