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725 ATLANTIC BLVD #4 - ELEC. •SL`Ij. iii `, , t CITY OF ATLANTIC BEACH f ' 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 't:1-0;11>%' INSPECTION PHONE LINE 247-5814 ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS - MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 PERMIT INFORMATION: PERMIT NO: ELPP18-0021 Description: 200 Amp 208 Volt 3 Phase Estimated Value: 56850 Issue Date: 8/3/2018 Expiration Date: 1/30/2019 PROPERTY ADDRESS: Address: 725 ATLANTIC BLVD UNIT 4 RE Number: 171363 0000 PROPERTY OWNER: Name: ATLANTIC-PENMAN LLC Address: 500 S 3RD ST JACKSONVILLE BEACH, FL 32250 GENERAL CONTRACTOR INFORMATION: Name: Address: Phone: Name: MPH Electric LLC Address: 511 Aiken Rd Jacksonville, FL 32216 Phone: PERMIT INFORMATION: Please see attached conditions of approval. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOU 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. 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. * A notice of Commencement is only required for work exceeding an estimated value of $2,500. For HVAC work, a Notice of Commencement is only required when HVAC work exceeds and estimated value of$7,500. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach,FL 32233 Ph(904)247-5826 Fax(904)247-5845 Et-PPl i- 0 0L r JOB ADDRESS: 7-.2.5- A -4- L I PERMIT# Coi 4 I r- 6D1 ci JEA INFORMATION REQUIRED ON ALL PERMITS 266 AMPS 2 OF VOLTS ) PHASE VALUE OF WORK$ S<oes-0 o0 NEW SERVICE ❑ Overhead Underground nI Underground up Pole ❑Residential(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters ❑Commercial (Main)Service 110-100 amps 0101-150amps 0151-200amps ❑ amps [CT Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters [Temporary Pole ❑ amps SERVICE UPGRADE El amps El CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps El amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 30 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ k Number of Lighting Outlets, Including Fixtures: 1 LO_ _ OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA [Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS [Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG [Other: 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. Property Owners Name A+i4( - P.64 ,vta4 L L C Phone Number Electrical Company /Ll. �i I&'4 t) L LL t- Office Phone 96 t/,31'10.0 SI 7 Fax Co. Address: .S11 At kt^ City S4..,'C State C'( Zip 32Z/6 License Holder (Print): !V eG Lc,( PF(v f 4...t f State Certification/Registration# R 130 15-`13 Notarized Si nature of License Holder tu ; TONI GINDLESPERGER Sworn and subscribed before me 41_4f 20LE c .'•:;1 MY COMMISSION#FF 924951 EXPIRES:October 6,2019 I4,8f,30', Bonded Thru Notary Public Underwriters Signature of Notary Public e