10 Seminole Landing Rd ELPP22-0028 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
UDOVICH WILLIAM M 4911 BRECKENRIDGE RUN SYRACUSE NY 13215
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:
168908 1032 BLUFFS
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
10 SEMINOLE LANDING RD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER
BLDG PLANS
6 UNITS - REPLACE METER
BANK $2000.00
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
NSF FEE 001-0000-369-3400 0 $271.63
STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.98
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.65
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: 5/8/2023
PERMIT NUMBER
ELPP22-0028
ISSUED: 5/8/2023
EXPIRES: 11/4/2023
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $543.26
2 of 2Issued Date: 5/8/2023
PERMIT NUMBER
ELPP22-0028
ISSUED: 5/8/2023
EXPIRES: 11/4/2023
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
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 10/17/18vp,(( 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
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