363 Atlantic Blvd 13 ELPP21-0023 Elec for Int Buildout diC.
rs"' ELECTRICAL COMMERCIAL OR PERMIT NUMBER
, MULTIFAMILY DETAILS PER BLDG
ELPP21-0023
ISSUED: 4/14/2021
�� V PLANS PERMIT EXPIRES: 10/11/2021
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 Electric for INTERIOR
363 ATLANTIC BLVD 13 MULTIFAMILY DETAILS PER $7500.00
BUILDOUT LA PETIT PARIS
BLDG PLANS
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: 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
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.
11111.11.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 u $8.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 40 $24.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $6.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
Issued Date:4/14/2021 1 of 2
�rS'
ISSUED:L1!>�' ELECTRICAL COMMERCIAL OR PERMIT NUMBER
'=- y ��
ELPP21-4/100234/2021
MULTIFAMILY DETAILS PER BLDG
T�i3j9r PLANS PERMIT EXPIRES: 10/11/2021
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$97.00
Issued Date:4/14/2021 2 of 2
Electrical Permit Application **ALL INFORMATION
�� HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:Co rriM 2/ o of SM I
JOB ADDRESS: 3C.,34f(!:r' iCr vi) L./1(1 /3— (4 PROJECT VALUE $ 5 „' cU
£cis i JEA INFORMATION REQUIRED ON ALL PERMITS:4 2 AMPSI //2 <IOLTS 3 PHASE
NEW SERVICE: Overhead Underground ❑Underground up Pole
Residential (Main) Service:
0-100 amps 101-150amps D151-200amps ❑ amps #of Meters
ICommercial (Main) Service:
❑O-100 amps D101-150amps o151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
LiMulti-Family(Main) Service:
0-100 amps 101-150amps o151-200amps ❑ amps #of Unit Meters
TEMPORARY POLE: amps
I SERVICE UPGRADE: amps ❑CT Service amps
I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200arnps i amps CT Service amps
ADDITIONS, MODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: /4 0-30amps 31-100amps 101-200amps
Appliances: 4- 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: g1)
OTHER ELECTRICAL PROJECTS:
nSwimming Pool ❑Sign r]Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
r 1 REPAIRS/MISCELLANEOUS:
ciR place Burnt/Damagedpleier Can ❑Safety Inspection ❑Panel Change ❑OH to UG
her: Updated so/17/is
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: f1 Le-7< Phone Number: 7.2-7-45-6-364 Z
Electrical Company: N.D, Lo Litz Cd")rck..._ Office Phone: -Q -6,62,e Z5 a Fax:
Co.Address: S/I Ar(fitK; N'I') Cit) jOt-'}-1'l 6\le'- ivy. State: f( Zip: 32)
License Holder: H4 ' -l tD• Lon , -i State Certification/Registration it: 5 OUo 6-72-L
Notarized Signature of License Holder �.
The foregoing instrument was acknowledged ore me this) y of FC(. 2Q,2 fin tL State of Florida, County of
Signature of Notary Public
_•e'f : TONI GINDLESPERGER •
.: —•`
1.1 MY COMMISSION#GG3S3178 [ I Personally Known OR[ I Produced Identification
Type of Identification:,:.�•�a:` EXPIRES:October 6,2023
°F F`••' Bonded Thru Notary Public Underwriters