939 Amberjack Ln SOLR21-0009 solar electrical permit 1 of 2OWNER:ADDRESS:CITY:STATE:ZIP:
HAMPTON MARY E ET AL 939 AMBERJACK LA ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
MOMENTUM SOLAR 6210 HOFFNER AVE ORLANDO FL 32822
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171175 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
939 AMBERJACK LN ELECTRICAL SOLAR PANEL ELECTRIC FOR SOLAR $900.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SOLAR COLLECTOR SYSTEM 455-0000-322-1000 0 $30.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $89.00
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: 4/29/2022
PERMIT NUMBER
SOLR21-0009
ISSUED: 4/29/2022
EXPIRES: 10/26/2022
ELECTRICAL SOLAR PANEL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 4/29/2022
PERMIT NUMBER
SOLR21-0009
ISSUED: 4/29/2022
EXPIRES: 10/26/2022
ELECTRICAL SOLAR PANEL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
Permit Number: SOLR21-0009
Site Address: 939 AMBERJACK LN
City, State Zip Code: ATLANTIC BEACH, FL 32233
Applied: 12/22/2021 Approved:
Issued:
Parent Permit: MCRS21-0014
Parent Project:
Applicant: <NONE>
Owner: HAMPTON MARY E ET AL
Contractor: <NONE>
Description: ELECTRIC FOR SOLAR
Finaled:
Status: RECEIVED
Details:
LIST OF REVIEWS
SENT DATE RETURNED
DATE DUE DATE TYPE CONTACT STATUS REMARKS
Review Group: AUTO
12/22/2021 12/22/2021 SUBMITTAL
COMPLETENESS Permit Tech APPROVED
Notes:
ONE ATTACHMENT
requested the application be stamped by notary and missing was the JEA letter
12/22/2021 1/20/2022 1/10/2022 BUILDING Building DENIED
Notes:
Correction Comments:
1. Please submit the JEA approval document stating your designed solar system is acceptable to be connected to their power grid.
Printed: Friday, 21 January, 2022 1 of 1
Permit Reviews
City of Atlantic Beach
Revision Request lCorrection to Comments
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
**ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
Phone: (904) 247-5826 Email:Buildine-@coab.us pERMtr#: SOLR21-0009
l_l Revision to lssued Permit OR Corrections to Comments sils.0210412022
Project Address Christopher Tanner
Contractor/Contact Name:[t/lomentum Solar
Contact phone: $21) 247-6073 s*r;1. fl permits@momentumsolar.com
Description of Proposed Revision / Corrections:
Unlocked Eng Letter
I Cameron Christensen affirm the revision/correction to comments is inclusive of the proposed changes
(printed name)
a add additional square footage to original submittal?
be added:
a-\&ill proposed revision/corrections add additional increase in building value to original submittal?
l"Jr.lol_l*Y",(additionalincreaseinbuildingvalue:S-)1Cont,,.to,mustsignifincreaseinvaluation)
*Signatu re of Contractor/Agent:
tr Rpproved I oenied
(Office Use Only)
E ruot Applicable to Department Permit Fee Due (
Revision/Plan Review Comm
Department Review Required :
Building
Planning & Zoning
Tree Administrator
Public Works
Public Utilities
Public Safety
Fire Services
Reviewed By
Date
Updated 10/17/18
raAt
Corrections Made to Electrical Application
updoted 10/9178
**ALL INFORMATION
HIGHTIGHTED IN GRAY
IS REQUIRED.
Job Address: 939 AMBERJACK LN ATLANTIC BEACH, FL 32233 Permit Number: SOLR21-0009
30-60 17-2S-29E ROYAL PALMS UNIT 1 LOT 21BLK4 RE# 171175-AAOO
Valuation of Work (Replacement Cost) S 30,196.80 Heated/Cooled SF _ Non- Heated,/Cooled_
r Classof Work: nNew trAddition lAlteration DRepair !Move trDemo trPool DWindow/Door
r Use of existinglproposed structure(s): ICommercial trResidential
o lf an existing structure, is a fire sprinkler system installed?: lYes trNo
Florida Product Approval for multiple products use product approval form
a
++
ProperW Owner lnformation
Name ChristopherTanner Address 939 AMBERJACK LN
City ATLANTIC BEACH State FL zip 32233 phone 321-247-6073
E-Mail fl permits@momentumsolar. com
Describe in detail the type of work to be performed
lnstallation of photo voltaic solar panels on rooftop
Name of Company Momentum Solar Qualifying Agent
Office Phone 321-2474073
State Certification/Registratio n # cvcs7036
Architect Name & Phone # Daniel Dunzik 908-872-3664
Job Site Contact Number 321-2474073
Englneer''s Name & Phone 6 Mina Makar 551-689-5068
Workers Compe nsation tnsurer Zurich American lnsurance Company OR Exempt n Expiration Date _
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANK5, and AIR CONDITIONERS, etc. NOTICE: ln 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.
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERW. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECOft I NG;YOU R NOTTCE OF COMM ENCEMENT./ff\,r^lq (Signature of Owner or Agent){Signature of Contractor)
Signed and sworn to (or affirmed) before me this 4 day of Signed and sworn to (or affirmed) before me this
-
day of
Februarv . 2022 Februarv
ure of rv)
SAI"6ADO
[ ] Personally Known OR
ffi Produced ldentification
Commisslon # GG 572215
ErPiros JulY 2'1, 2C24
Bcnded thru Budget Notary Servic€a
[Xl Personally Known OR
[ ] Produced ldentification
KRISTINA SALGADO
Commlssion # GG 972215
Expires JulY 21, 2024
Bonded Ihru BudgetNotary Seryices
.6{Y Pgs
#*;Type of ldentification:Type of ldentification
. xRY P(tp,
={. ^ 2-
*#ss
Building Permit Application
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email: Buildins-Dept@coab.us
Legal Description
ownerorAgent(lfAgent,PowerofAttorneyorAgencyLetterRequired)
Contractor lnformation
Cameron Christensen
Address 6210 Hoffner Ave Ste 100 City Orlando State FL Zip 32822
E-Mail flpermits@momentumsolar.com
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL32233
Phone: (904) 247 -5826 Email : B u i I d i ne-Dept @ coa b. us PERMIT#: SOLR21-0003
JOB ADDRESS:939 AMBERJACK LA ATLANTIC BEACH,FL32233 PROJECT VALUE $ 900.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 2OO RUP5 240 VOLTS 1 PHASE
**A[L INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
EI r,rrw sERVtcE: . floverhead
trResidential (Main) Service:
E0-100 amps 8I.01-150amps
ffommercial {Main} Service:
flo-too amps Eltot-tsoamps
Conductor
EMulti-Family {Main} Service :
ffi-too amps Etot-tsoamps
TEMPORARY PO[E:_amps
AJnderground lUnderground up Pole
8I151-200amps
ntst-zooamps Il amps
Size
fltst-2ooamps mps
ECT Service _ amps
# of Meters
flCT Service _ amps
# of Unit Meters
amps
n
E SERV!CE UPGRADE:amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[100 amps fltsoamps f]200amps F=l amps ffIService _ amps
ADDITIONS, REMODELS, REPA!RS, BU|ID-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: _0-30amps _31-100amps _101-200ampsAppliances: _0-30amps _31-100amps _101-200amps
A/C Circuits: _0-60amps _61-100amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, lncluding Fixtures:
OTTIER ETECTRICAL PROJECTS:
BwimmingPoolflSign fbmokeDetectors (Qty)flrransformers--KVA fivtotors-_HP
fl nenruns/MrscEuANEous:
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 dobs not glve authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.il;;; N;;", Christopher Tanner Phone Number:(321) 247-6A73
Electrical Company:Jea Office Phone:(904) 665-6000 Fax:_
Co. Address:21 West Church St city: Jacksonville state: FL zip:32202
License Holder:Franz State Certification/Reg istration s. EC1 3008217
Notartzed Signdture of License Holder
The foregoing instrument was acknowledged before me this
Signature of Notary Public
ffi Personally Known OR I I Produced ld"6FY I'up. KRISTINA SAIGADO+k'., !" Commission l: GG 072215
t.r$d-?# Expires JulY21, 2024
%o.*rrF Bonded Thru Budget Notar} Seruice$
Type of ldentification
;;il7
T
n FIRE AIARM SYSTEM (Requires 3 sets of plans):
Qty _ volts/amps
Meter Can to UG
solarlnstallBox &updated 10/17/78
of State of Florida, County of Duval
Esafety lnspection
lnstallation of Solar
fFanelfor noHvoltaic
1/13/22, 2:09 PM JEA Interconnection Application For Project JEA-11794 - TANNER - Is Approved. - Robert Dunphey - Outlook
about:blank 1/1
Reply all Delete Junk Block
JEA Interconnection Application For Project JEA-11794 - TANNER - IsApproved.
Thu 1/13/2022 2:09 PM
JEA PROJECT #: JEA-11794
STATUS: Interconnection Application Approved by JEA
CUSTOMER NAME: MARLA MICHELE TANNER
PROJECT ADDRESS: 939 AMBERJACK LN
ATLANTIC BEACH, FL 32233
PV PANEL QUANTITY: Inverter: 12 x Enphase Energy 0.3 kW (Model IQ7PLUS-72-2-US(240V) [SI1]) PV Module Array: 12 x Hanwha Q-Cells 380W (Model Q.PEAK DUO BLK ML-G9+ 380)
BATTERY STORAGE: Integrated Energy Storage: 1 x Enphase Energy Inc. Encharge 10(ENCHARGE-10-1P-NA)
COMMENTS:
NEXT STEP: Contractor Obtains Electric Permit From City of Jacksonville Building Departmentand Submits Active Electric Permit # in PowerClerk.
JEA Logo
JEA - System Analysis
www.jea.com
JG JEA DISTRIBUTED GENERATION
To: Permissions; Utility-FL
Cc: chris@beachframes.com
Reply Reply all Forward
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $89.00
SOLR21-0009 Address: 939 AMBERJACK LN APN: 171175 0000 $89.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
MECHANICAL $30.00
SOLAR COLLECTOR SYSTEM 455-0000-322-1000 0 $30.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R19439 $89.00
Printed: Thursday, April 28, 2022 5:18 PM
Date Paid: Thursday, April 28, 2022
Paid By: Katherine Weisburg
Pay Method: CREDIT CARD 628667914
1 of 1
Cashier: JJ
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R19439