1085 Atlantic Blvd Unit 67 ERES20-0282 Safety Vis' -Y-G-% ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
Hi ERES20-0282
�,.x,. _ lir) CITY OF ATLANTIC BEACH ISSUED: 12/10/2020
J 800 SEMINOLE ROAD
��`''3}vr ATLANTIC BEACH. FL 32233 EXPIRES: 6/8/2021
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.
JOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
hat may be found in the public records of this county, and there may be additional permits required from other
:overnmental entities such as water management districts, state agencies, or federal agencies.
�; JOB ADDRESS 1 PERMIT TYPE: DESCRIPTION: VALUE OF WORK
UNIT 67 - SAFETY
1085 ATLANTIC BLVD ELECTRICAL RESIDENTIAL INSPECTION AS REQUESTED $350.00
BY TENANT
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: l NUMBER: GROUP:
177391 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIN'S ELECTRIC INC 3840 MAGILL ROAD JACKSONVILLE FL 32220
OWNER: ADDRESS: CITY: STATE: ZIP:
NCM LLC ET AL P.O.BOX 309 BRIDGEPORT CT 06601
NARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT 11`
'OUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT
OUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU
NTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
ZECORDING YOUR NOTICE OF COMMENCEMENT.
Hyl.
toll 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
TOTAL:$109.00
Issued Date: 12/10/2020 1 of 2
rti- t ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER 1
.S r�
e
r`',k " i` t' CITY OF ATLANTIC BEACH ERES20-0282 •
. � ISSUED: 12/10/2020
800 SEMINOLE ROAD
-kolt 10 ATLANTIC BEACH. FL 32233 EXPIRES: 6/8/2021
Issued Date:12/10/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
s HIGHLIGHTED IN
City of Atlantic Beach Building Department
isi
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 EAC- Z. --oz 8
''j''r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: /083- tk4ffI.).i (0 7PROJECT VALUE$ .� fb ¶:. —
JEA INFORMATION REQUIRED ON ALL PERMITS: I 00 AMPS 24) VOLTS ! PHASE
NEW SERVICE: ❑ Overhead ['Underground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps DCT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
E 10 amps ❑150amps ❑200amps ❑ amps DCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a m 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:
I I OTHER ELECTRICAL PROJECTS:
❑Swimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps _
r�bVPS+ CN)(Y\ enar -1.- - hQ.S
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can Aafety Inspection ❑Panel Change ❑OH to UG POLAD e r
❑Other: updated 10/17/18
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: co.,1 S 'L- rke Phone Number: 451- '5 el
Electrical Company: 1-..,^'1 i= 1<(1_ ✓'.� 1 --
�^ •'' Office Phone: 4 7zief. $45 4 t(I.- Fax:
Co.Address: 71x2_ Pr`. E kAcI 4 . City: I ft,is State: ft Zip: >5.y it
License Holder: j/c t5;1 L. g Ilk- �,� State Certification/Registration#: f0.-/-3490 ! '/f
Notarized Signature of License Holder %� ,w'`� -' •
The foregoing instrument was acknowledged before me this/0 d-y o�� -,t4111 .!' Oin he State of Florida,County of
Signature of Notary Public �`�r
•• •`•s,: TONI GINDLESPERGER [ ] Personally Known OR[ ] Produced Identification
*: ;,'; ;,; MY COMMISSION#eGG353178 Type of Identification:
ID
'��''��`°" EXPIRES;October 6,2023
'' Bonded Th No!arypublic Undenniters