363 Atlantic Blvd. #3 ELPP22-0022 Electrical Permit ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP22-0022
ISSUED: 3/30/2022
P• PLANS PERMIT EXPIRES: 9/26/2022
PHONEMUST CALL INSPECTION • 1 • ) 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, IPIVIC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
363 ATLANTIC BLVD 02 and ELECTRICAL COMMERCIAL OR ELECTRIC FOR BUILDOUT
03 MULTIFAMILY DETAILS PER VALHALLA TAP ROOM $2000.00
BLDG PLANS
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CCINSTRUCTiON: NUMBER: GROUP:
169730 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
S &G ELECTRICAL 2140 NICKERSON LN JACKSONVILLE FL 32207
CONTRACTOR LLC
• ADDRESS:
NSHORE LLC P.O.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 CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $3500
ELECTRICAL BASE FEE 455-0000-322-1000 0 $5500
STATE DBPR SURCHARGE 455-0000-20807M 0 $2A0
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:3/30/2022 1 of 2
CoMM21- 606 If
INFORMATION
ALLElectricalPermitAPPlication HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Et, PPzz oozz
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT
-f#:
JOB ADDRESS: 3?, "taillight C{Ia.J ei 4yi la; b4PROJECr VALUE$ Jri
JEA INFORMATION REQUIRED ON ALL PERMITS:Z5 O AMPS 346 VOLTS PHASE
❑ NEW SERVICE: ❑Overhead oUnderground ❑Underground up Pole
❑Residential(Main)Service:
oO-100 amps ❑101-150amps n151-200amps d amps if of Meters
❑Commercial(Main)Service:
oO-100amps ❑101-150amps ❑151-200amps ❑_amps DCFService_amps
Conductor Type Size
oMulti-Family(Main)Service:
oO-100amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters_
❑ TEMPORARY POLE: amps
SERVICE UPGRADE: ❑_amps oCT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
olOOamps o150amps u200amps amps oCTService amps
DDFTIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 0-30amps 31-1DOamps _101-200amps
Appliances: 0-30amps 31-100amps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: If circuits @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
o5wimming Pool ❑Sign o5moke Detectors (Cfi ❑TransformersKVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
City—volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can o5afety Inspection oloanel Change o0H to UG
❑Other: updaree io/»na
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 rmk dogs pot give a [ riry to violate the pro ions of any other state or lout law regulation construction or the performance of
conshuttion. [[� Vit
h
Owner Name:7" " �-� Q r/I)m Phone Number:
Electrical Company: 3�6 f—kc 14CO i �' 'L ¢e Phone: yONa ��Y •rj�.$; Fax:
Co.Address: "Ll go Nf'i—SrOA LYV City: G�Stater zip: LUA7
License Holder: State Certification/Registration#:
Notarized Signature oJticense Holder U ai
�J�
The foregoing instrument was acknowledged be fore me tkfla i da of 0 'nth State of Florida,County of��.Y-wsl
,n..... � Signature of Notary Pu c
i ,r'j?+'u , MIg GINOLESPERGER
tl�Ly MYCOMLIISSION gGG353778 I ]Personally Known OR[ ]Produced ldentifcation
EXPIRES:October 6,2023 Type of Identification:
BanCeat6ru Notary Public Untlernlart