1089 Atlantic Blvd B ELPP20-0041 safety inspection permit ELECTRICAL COMMERCIAL OR PERMIT NUMBER 4
MULTIFAMILY DETAILS PER BLDG ELPP20-0041
'-- —, ISSUED: 10/6/2020
PLANS PERMIT EXPIRES: 4/4/2021
MUST CALL INSPECTION PHONE LINE(904444444 =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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR
1089 ATLANTIC BLVD B MULTIFAMILY DETAILS PER BLDG SAFETY INSPECTION $200.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
177616 0000 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
AIR CONDITIONING & 1219 THE GROVE ROAD ORANGE PARK FL 32073
HEATING 911 dba AC911
OWNER: ADDRESS: CITY: STATE: ZIP:
ASHLAND INVESTMENTS 7880 GATE PKWY JACKSONVILLE FL 32256
INC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT It\
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.
I
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
Issued Date: 10/6/2020 1 of 2
sem` PERMIT NUMBER
�3? � ELECTRICAL COMMERCIAL OR
` MULTIFAMILY DETAILS PER BLDG ELPP20-0041
"� ISSUED: 10/6/2020
ft ,j;„ PLANS PERMIT EXPIRES: 4/4/2021
STATE DCA SURCHARGE [ 455-0000-208-0600 l 0t 1
$2 OOi
TOTAL:$109.00
Issued Date:10/6/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
rJ , City of Atlantic Beach Building Department GRAY IS REQUIRED.
/;; 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: uilding-Dept@coab.us PERMIT#:
JOB ADDRESS: /0 439 /3 4-Ico",r,ic 81t.Jc/ PROJECT VALUE $ ZOO.
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS ;LA) VOLTS 3 PHASE
ElNEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
rResidential (Main)Service:
00-100 amps 1:101-150amps 0151-200amps 0 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 0101-150amps 0151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps OCT Service amps -c)'(N
I l NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): ) .'J 2j
0100 amps 0150amps ❑200amps 0 amps OCT Service amps \ 7 1
0\7)7
CIADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am.
Appliances: 0-30amps 31-100amps 101-200a mps
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 OMotors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
DReplace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change ❑OH to UG
they:
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
construction.
Nam �51i Prv2� J T (3qf 2--�7OO v
Owner Name: �� " � �S Phone/Number:
Electrical Company: A/C 'c 4I ,‘,4/19 I ) LLC Office Phone: 9v7 ' 3 3c/-5 3 75 Fax:
Co.Address: City: 7'9 1` State: teL Zip:3 1 .L d"
License Holder: 'T 01- /0 1 O LL ZL/li / Le State Certification/Registration#: EC 13 V O 35—e
Notarized Signature of License Holder X
The foregoing instrument was acknowl d before me this-5441day of C7G/— ,20. in the ate of Florida, County of D 0 t91}L
�`°"' NotaryP„pi;�S���F�� Signature of Notary Public
8everiy K E►ias
w/ E,r, , ton GO 315109 4 Personally Known OR[ ] Produced Identification
X023 Type of Identification:
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