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763 ATLANTIC BLVD ELPP21-0070 Electrical Permit Application **ALL INFORMATION HIGHLIGHTED IN City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 • Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:GL-P-P2 1—OO7Z JOB ADDRESS: 763-C Atlantic Blvd, 32233 PROJECT VALUE $$ 300.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE • NEW SERVICE: ❑Overhead OUnderground ❑Underground up Pole ©Residential (Main) Service: 00-100 amps D101-150amps 0151-200amps 0 amps #of Meters DCommercial (Main) Service: 00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps Conductor Type Size DMulti-Family(Main) Service: 00-100 amps 0101-150amps 0151-200amps ❑ amps # of Unit Meters 1-1 TEMPORARY POLE: amps ❑ SERVICE UPGRADE: 0 amps OCT Service amps n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps 0200amps ❑ amps ❑CT Service amps ❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: 0-30a mps 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: ❑Swimming Pool OSign []Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP n FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps n REPAIRS/MISCELLANEOUS: DReplace Burnt/Damaged Meter Can ElSafety Inspection [Panel Change ❑OH to UG DOther: 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: Petra Management Phone Number: (904)241-1151 Electrical Company: Crawford Electric Office Phone: (904)241-5591 Fax: Co.Address: P.O. Box 51045 City: Jax Beach State: FL Zip: 32240 License Holder: John R. Crawford State Certification/Registration#: EC13002649 Notarized Signature of License Holder / /y r� Q^' T = - - - . .• -d before me this 3 day of fie t 0',1 20 ( , in the State of Florida, County ofQ.L ;PPV PUB,, '-I• . .• ;��ip ._Notary Public State of Florida ignature of Notary Public = Commission # HH 46150 P My Commission Expires September 23, 2024 Personally Known OR [ ] Produced Identification ype of Identification: