705 ATLANTIC BLVD UNIT 20 ELPP22-0027 BRIDAL SHOP r�'yu'f�>>, ELECTRICAL COMMERCIAL OR PERMIT NUMBER
' \s\ MULTIFAMILY DETAILS PER BLDG ELPP22-0027
ISSUED: 4/12/2022
�� PLANS PERMIT EXPIRES: 10/9/2022
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.
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:
ELECTRICAL COMMERCIAL OR SERVICE UPGARDE 200 amp,
705 ATLANTIC BLVD MULTIFAMILY DETAILS PER $5000.00
REMODEL BRIDAL
BLDG PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170655 0000 SALTAIR SEC 01
COMPANY: I ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
OWNER: ADDRESS: CITY: STATE: ZIP:
SEMINOLE SOUTH, LLC 2300 MARSH POINT RD, 301 NEPTUNE BEACH FL 32266
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.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $10.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 25 $15.00
ELEC SERVICE CHANGE 455-0000-322-1000 200 $50.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
-
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:4/12/2022 1 of 2
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r�L',r„' Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
f-=. lie City of Atlantic Beach Building Department GRAY IS REQUIRED.
�
''' 800 Seminole Rd, Atlantic Beach, FL 32233 — Z
Of 'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
(�,,� -7o Ria(L c_ ;-�v
JOB ADDRESS: �---- -a PROJECT VALUE$
on it Z p
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS a I0VOLTS &/ PHASE
❑ NEW SERVICE: ❑ Overhead ❑Underground ❑Underground up Pole
❑Residential(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps ❑101-150amps o151-200amps ❑ amps #of Unit Meters
❑ TEMPORARY POLE: amps
it SERVICE UPGRADE: ❑ WD amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps D amps ❑CT Service amps
171 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: b 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: al 0-60amps 61-100amps
Heat Circuits: 1 # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 1p
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool oSign ❑Smoke Detectors (Qty) oTransformers KVA oMotors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
oReplace Burnt/Damaged Meter Can oSafety Inspection oPanel Change EON to UG
❑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. n '
Owner Name: ._ ^> `'tom V eJE CV 144 .A/1 r\
Phone Number:
Electrical Company: 4 )t �'-evkiLloa l; i'Office Phone: qcg- aLk i 'S S lq,
( Fax:
Co.Address: "g1 - 6.t.c ( .,_ Q l v(/�. City: ,40.-F ��• State: a- Zip: 32Z Sr
License Holder: vCLv� R. b trek State Certification/Registration#: TSG l'jbr 'o1Co.tie,
Notarized Signature of License Holder A. i
The foregoing instrument was acknowledged before me this t 1 ..rday o I ( 2 . in the State of Florida,County of�v Ir0,-(
-7.-1-1-77-..----_-1-_ Signature of Notary Publicy
1 ;!,.Y., ;;; TONI GINDLESPERGER -
i c ,.�r, ', MY COMMISSION#GG 383178 [ ] Personally Known OR[ I Produced Identification (
: , p�; EXPIRES:October 6,2023 Type of Identification: l_; , C.�of. ..' Bonded Thru Notary Public Underwriters