763 Atlantic Blvd ELPP20-0043 Permit PacketOWNER:ADDRESS:CITY:STATE:ZIP:
412 BOARDWALK P O BOX 33046 ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
MCCLURE ELECTRICAL
CONTRACTORS 1521 Inverness Rd Fernandina Beach FL 32034
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177653 0000 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
763 ATLANTIC BLVD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS
ELECTRIC BUILDOUT - 20
FIXTURES $1800.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 20 $12.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
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: 10/21/2020
PERMIT NUMBER
ELPP20-0043
ISSUED: 10/21/2020
EXPIRES: 4/19/2021
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $71.00
2 of 2Issued Date: 10/21/2020
PERMIT NUMBER
ELPP20-0043
ISSUED: 10/21/2020
EXPIRES: 4/19/2021
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
t'jy` Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
4---);?,'City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 ELPP-0-0( }3
r jt'Y
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 7 6 -St-t. k L a--VP` PROJECT VALUE$ 8 , o
JEA INFORMATION REQUIRED ON ALL PERMITS: 2..00 AMPS Z4r VOLTS I PHASE
NEW SERVICE: Overhead Underground Underground up Pole
Residential (Main)Service:
O-100 amps 101-150amps 151-200amps amps of Meters
Commercial(Main)Service:
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service:
O-100 amps 101-150amps 151-200amps amps of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: amps CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
100 amps 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: t Z— 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits:0-60amps 61-100amps
Heat Circuits:circuits @ kw
gNumberofLightingOutlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign Smoke Detectors Qty) Transformers KVA Motors HP
I I FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change DOH to UG
Other: 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. pp
Owner Name: r1'-I. G-1`^T 'Phone Number:
Electrical Company: W` c Lh.ti S ke a,c\c /k I Office Phone: dko`A—23"7 --4-7o( Fax:
Co.Address: kN-2, 1 tNvC-pLne S 5 f-9•City: t--icn+ D •vF.. tck. State: it- Zip: 3Zo34
License Holder: g-- cc_1.....,g e_ r.State Certification/Registration#: ER-ooc- *o%A B
Notarized Signature of License Holder
01111110
The foregoing instrument was acknowledg e ore me this ZQday .111! ,---e_4, ' the ate of Florida,County of J(,j t/O-/(\
Signature of Notary Public 0. •4 ,
EXPIRES:October 6,2023
t '.'' TONI GINDLESPERGERrsonally Known OR[ ] Produced Identification
iso "
MY COMMISSION#GG 353178 Type of Identification:
r Q7..
FOF FL?.` Bonded Thru Notary Public Underwriters