625 ATLANTIC BLVD - ELECTRIC OVERHEAD CITY OF ATLANTIC BEACH
is1
-11r1 ' 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
O;; >% INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELEC18-0003
Description: OVER HEAD TO UNDERGROUND
Estimated Value: 1000
Issue Date: 9/7/2018
Expiration Date: 3/6/2019
PROPERTY ADDRESS:
Address: 625 ATLANTIC BLVD
RE Number: 170663 0000
PROPERTY OWNER:
Name: SMMJJM LLC
Address: 619 ATLANTIC BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CRAWFORD ELECTRIC
Address: 2301 Marsh Point Road
Neptune Beach, FL 32266
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/,, Ph(904) 247-5826 Fax (904) 247-5845 , 8-- ----
B ADDRESS: Q`-
Alan*, f II , (9 23j PERMIT#
F., ':,..
VALUE OF WORK$ /MQ.°V
NEW SERVICE Overhead F} Underground 1 IJ Underground up Pole
:Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
:Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
U Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
tDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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:
)THER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 Smoke Detectors Qty ❑Transformers KVA 0 Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
EPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can ❑Safety Inspection :Panel Change OH to UG
❑Other:
rmit 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
d 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
cified 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
Istruction.
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erty Owners Name � � n
� ��Y � S m (nd 3 Phone Number (kg-3I7-6764,
ctrical Company SC . 111 Of:! Art .1 3 1.,a fl, Alf ce Phone10+244-s% Fax /�`T 2/'-/�''S7
. Address: 201_ AU3('S I� 1,t_ City u StateCt_ Zip3226,P
folder (Print): .TRW) _ State Cert. cation/Registration# J &i2L ?
tarized Signature of License Holder ,�
,,..0'*,; TONIGINDLESPERGER 1i fore me this 7 day of ►' I ;i
._ MY COMMISSION#FF 924951 c.14----.,
'a EXPIRES:October 6,2019 gnature of Notary Public I Or
''.q:0'. Bonded Thru Notary Public Underwriters `