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10 SEMINOLE LANDING RD ELPP22-0028 `'S'''�'` ELECTRICAL COMMERCIAL OR PERMIT NUMBER J . ELPP22-0028 o MULTIFAMILY DETAILS PER BLDG ISSUED: 4/20/2022 \;��;3 ,r PLANS PERMIT EXPIRES: 10/17/2022 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 6 UNITS REPLACE METER 10 SEMINOLE LANDING RD MULTIFAMILY DETAILS PER BANK $2000.00 BLDG PLANS TYPE OF REAL ESTATE BUILDING USE ZONING: SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 168908 1032 BLUFFS COMPANY: ADDRESS: CITY: STATE: ZIP: CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266 OWNER: ADDRESS: CITY: STATE: ZIP: UDOVICH WILLIAM M 4911 BRECKENRIDGE RUN SYRACUSE NY 13215 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 SERVICE CHANGE 455-0000-322-1000 600 $210.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.98 STATE DCA SURCHARGE 455-0000-208-0600 0 $2 65 TOTAL:$271.63 Issued Date:4/20/2022 1 of 2 **ALL INFORMATION / ui-,, Electrical Permit Application HIGHLIGHTED IN /4,-;:-:..,,vi ' ' � �. GRAY IS REQUIRED. rj; �t�'�. City of Atlantic Beach Building Department i,; ��,- 800 Seminole Rd, Atlantic Beach, FL 32233 CLPPZZ-DOZ "�''J Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: JOB ADDRESS: k O 5c-, :r`c)� Cr&-' `q PROJECT VALUE $ Z 00� o� JEA INFORMATION REQUIRED ON ALLJPERMITS: 0 AMPS 1 tCVOLTS PHASE n NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole ©Residential (Main)Service: ©0-100 amps D101-150amps 0151-200amps O amps #of Meters []Commercial (Main) Service: 00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps Conductor Type Size ©Multi-Family(Ma,n) Service: % ©0-100 amps 01-150amps 0151-200amps 0 amps #of Unit Meters cQ IT TEMPORARY POLE: amps n SERVICE UPGRADE: ❑ amps OCT Service amps \ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps 0150amps ®200amps ❑ amps OCT 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 ❑Sign ['Smoke Detectors (Qty) ❑transformers KVA ['Motors HP FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty volts/amps 'j REPAIRS/MISCELLANEOUS: ❑Replace Burnt/ maged Meter Can ❑Safety Inspection ❑ anel Change DS(OH$ G [Other: T,Q t4/ L�^� K /(.2 mint tS. (vii c4' Updated 10/17/18 vp,(( 1\A t 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. T permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. r��I (JCL OV L C it Owner Name: lh \ lJ �" \ Phone Number: Electrical Company: ( C'C,_1 +c,ro( F i.,c r- L Office Phone: - ls.A i " S "1 I Fax: Co. Address: 3i 2D , ��v� City:S&,A()cr�.,tle 84,84,1-, State: �Z �� C--3-0,\,v-. \Lc, Zip: Z License Holder: . Cf19 G c _.I State Certification/Registration#: 'L 1 ) O ZLDyC\ Notarized Signature of License Holder iE t(...., `2--- The foregoing instrument was acknowledged before me this c1 day of ' 1' P , 20 in the State of Florida,County of C Signature of Notary Public"`k o Ct. ` '=1,',,, HADLEY NELSON rte/' �=NotaryPublic-State of Florida .• ..---,W#-•`-- Comission # HH 46150 Personally Known OR [ ] Produced Identification ' ,o1'` c My Commission Expires Type of Identification: ",iii'''''' September 23. 2024 - ► _ 4