469 ATLANTIC BLVD #7 - SAFETY INSPECTION A a CITY OF ATLANTIC BEACH
-- ;. 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
4,011i9% INSPECTION PHONE LINE247-5814
ELECTRICAL COMMERCIAL OR MULTI',AMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT I AY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0036
Description: SAFETY INSPECTI o N
Estimated Value: 0
Issue Date: 10/26/2017
Expiration Date: 4/24/2018
PROPERTY ADDRESS:
Address: 469 ATLANTIC BLVD 07
RE Number: 170690 0000
PROPERTY OWNER:
Name: DIAMOND REAL ESTATE PROPERTIES IV LLC
Address: 6517 LOU DR S
JACKSONVILLE, FL 32216
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CLG ELECTRICAL CONTRACTORS LLC
Address: 453 GRAMPIAN HI HLANDS DR
JACKSONVILLE, F 32259
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv I.
WARNING TO OWNER: YOUR FAIL TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPE TY. A NOTICE OF
COMMENCEMENT MUST BE RECO ED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECT ON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOU LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTI E OF COMMENCEMENT.
* A notice of Commencement is only required or work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commen ement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PE•II T APPLICATION
CITY OF ATL TIC BEACH z
800 Seminole Rd, Ai antic Beach, FL 32233
Ph(904) 247-582i Fax (904) 247-5845 '- 7 �c_PPG.7-603(:.
JOB ADDRESS: 4167 4t1artI c. BLvd f 4{/Qn C. BegcI qL 32233 PERMIT#
INFO B , . MOo quit—'D •E s s � ;A a°•' '40'voLT_ ' , p7, SSD z
0.0
VALUE 0 WORK$ 4L5 — •
NEW SERVICE ❑ Overhead n Undergro nd J Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200a i ps ❑ amps # of Meters
❑Commercial(Main) Service. -
00-100 amps 0101-150amps 0151-200a ups ❑ amps ' 0C Service amps
Conductor Type Size
iLMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200a ps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
•
SERVICE UPGRADE ❑ amps ❑ C I Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURE`,ETC.)
0100 amps 0150amps 0200amps ❑ , nps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACC I SSORY STRUCTURES,ETC. .,
Outlets/Switches: 0-3 Damps 31-100.nips 101-200amps
Appliances:'' 0-30amps 317100.mps 101-200amps
A/C Circuits: 0-60amps 61=100.mps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTH H;R ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑I ransformers •. KVA '❑Motors hp
f
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$ ,
REPAIRS/MISCELLANEOUS �/'
❑Replace Burt/Damaged Meter Can Safety Inspectien ❑Panel Change ❑OH to UG
❑Other: i
?ermit 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
•ead this application and know the same to be true and correct. All provisions of aws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of. iy other state or local law regulation construction or the performance of
:onstruction.
•
property Owners Name Ali chgd /an'no uS Phone Number 9°Y" 8/3 ‘ci-$
electrical Company C L 6 E/e c n°cz( Cori1'ca c7Aors LLC Office Phone 964 622 717, Fax
Co.Address:' 4.53 gram 4a tht' h lands )r, City Sain-f J°65 State -Fl: Zip 322Sq
,icense Holder (Print): Ca0� 149/- State Certification/Registration# Ee 130.14C38
Totarizecl Signature of License Holder •, '
�.r...rs,.m. _�_. .E. = - —13'e ore me this a •ref 0 l 20
�:;;off! F' TONI GINDLESPERG R
;; k; p'-;',,,-. MY COMMISSION If FP 924951 Si nature of NotaryPubl'��_ f a. '
', sa° , EXPIRES:October 6,2019 .��_
";;r Bendzd Thru Notary Public Underwriters