363 Atlantic Blvd Units 13, 14 ELPP21-0014 Safety ELECTRICAL COMMERCIAL OR PERMIT NUMBER
n .... _:� MULTIFAMILY DETAILS PER BLDG ELPP21-0014
�r ISSUED: 3/4/2021
T v PLANS PERMIT EXPIRES: 8/31/2021
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR
Safety - Le Petit: Commercial
363 ATLANTIC BLVD 13 MULTIFAMILY DETAILS PER BLDG Interior Demo, Units 13 14 $250.00
PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: t NUMBER: GROUP:
169730 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
H D LONG ELECTRICAL 1618 HAMMOND BLVD JACKSONVILLE FL 32247-5788
CONTRACTOR, IN
OWNER: ADDRESS: CITY: STATE: ZIP:
NSHORE LLC P.O.BOX 357742 GAINESVILLE FL 32635
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT II\
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
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$59.00
Issued Date:3/4/2021 1 of 2
!:1r11ELECTRICAL COMMERCIAL OR PERMIT NUMBER
�'%;
� MULTIFAMILY DETAILS PER BLDG ELPP21-0014
��n
� ':u �_
°r ISSUED: 3/4/2021
�
PLANS PERMIT EXPIRES: 8/31/2021
�Oi11�`�
Issued Date:3/4/2021 2 of 2
Electrical Permit Application **ALLINFORMATION
11Lv�. Mp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
vart 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:3
JOB ADDRESS: 3 iccti4 4 7/( &1W C//u F /4 PROJECT VALUE$ -5a. C^
JEA INFORMATION REQUIRED ON ALL PERMITS: "IC& AMPS/2cy1,S VOLTS 3 PHASE
❑ NEW SERVICE: ❑ Overhead Eeiderground ❑Underground up Pole
❑Residential (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service:
❑0-100 amps n101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps uCT Service amps
I I NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
I 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:
I I OTHER ELECTRICAL PROJECTS:
nSwimming 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 afety Inspection ❑Panel Change ❑OH 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. �'
Owner Name: 4-4rXAC Z 44 Phone Number: '7a7 " 4-CV-.3-0 4'Z.
Electrical Company: 14,./),. LLeal e/tZ 6,/-, .- QCs_ Office Phone: g04-/e6Z,0 Z`t Fax: 2�j/ 'T 'q/
Co.Address: Nit -A'kr /4.o. e pry City: £s S, State:R...._ Zip: 3 2_0 43
License Holder: ^r, b .1-0 1,... ii?%-- .- '` Stat- ati.n/Registr,. . /: tCLaQOc 7Z.�
1 ''�'' ah /
Notarized Signature of License Holder ) � kV
41
The foregoing instrument was acknowledged before me this !� .., •iffCik- , in the Ito of Florida,County of
Signature of Notary Public ---.A _C3� i, c ,
� p TONT GINDLESPERGER
` ':
:47*,,: •• :• MY COMMISSION#GG 353178 [ ] Personally Known OR[ ] Produced Identification
:,'r.r�4s EXPIRES:October 6,2023 Type of Identification: ') L�
"•`:oF, Y Bonded Thru Notary Public Underwriters
r 4