765 ATLANTIC BLVD - SAFETY INSPECTION E_______';' ,` ELECTRICAL COMMERCIAL ORPERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP19-0052
ISSUED: 11/20/2019
PLANS PERMIT EXPIRES: 5/18/2020
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: I PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR
763 ATLANTIC BLVD MULTIFAMILY DETAILS PER SAFETY INSPECTION $300.00
BLDG PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
177653 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
CRAWFORD ELECTRIC 2301 Marsh Point Road Neptune Beach FL 32266
OWNER: ADDRESS: i CITY: STATE: ZIP:
HANDLER FAMILY
PARTNERSHIP 65 S COLORADO BLVD DENVER CO 80246-1040
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 11/20/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
10
f HIGHLIGHTED IN
•;+ City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 P P 19 -0057
Fiat•,' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ff,�
JOB ADDRESS: IQ, 4k1k'1Me- Y3st /c NI►ID 1 PROJECT VALUE $ �,QV
JEA INFORMATION REQUIRED ON ALL PERMITS: jDC) AMPS Lt7U VOLTS I PHASE
❑ NEW SERVICE: El Overhead ❑Underground ❑Underground up Pole
DResidential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
OCommercial (Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
❑D-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
El SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
❑ ADDITIONS, 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:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool['Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can fety Inspection ['Panel Change DOH to UG
they:
EP
Updated 10/17/18
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
Owner
,[,f MI_(�1 ry,,,J `
Owner Name: P /�p�Phone�Njumber: `� ! l/""(4
Electrical Company: d if/if 1C' Office Phone: JO ' 24 "1 ' ) Fax:
Co.Address: 2� i J�ia� \1 City: *tl K-Eatl.�r State: (i' Zip: A22617
License Holder: Jan ba (l. / State Certification/Registration#: b 7 02.1P1t`�
Notarized Signature of License Holder 6: t-
The ' ge /efore me this {G1day of V ( 2019, in the St. - •f • ida, Co • • ofRk`l,l
01►a`°ri,"'•. DONALD CARTER JR.
14),` rr, Notary Public•State of Florida I Signature of Notary Public , 0'
4 , p. Commission N GG 362943
'' or cc; ' My Comm.Expires Aug 6,2023
Bonded through National Notary Assn. ( Personally Known OR [ I Produced Identification
0 — — _ _ _ Type of Identification: