763 Atlantic Blvd Unit C Jersey Mikes ELPP21-0070 SafetyOWNER:ADDRESS:CITY:STATE:ZIP:
412 BOARDWALK P O BOX 33046 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177653 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
763 ATLANTIC BLVD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS
SAFETY INSPECTION - UNIT C
- JERSEY MIKES $300.00
FEES
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
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 11/3/2021
PERMIT NUMBER
ELPP21-0070
ISSUED: 11/3/2021
EXPIRES: 5/2/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
2 of 2Issued Date: 11/3/2021
PERMIT NUMBER
ELPP21-0070
ISSUED: 11/3/2021
EXPIRES: 5/2/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
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 PublicCommission # HH 46150 P
My Commission Expires
September 23, 2024 Personally Known OR [ ] Produced Identification
ype of Identification: