102 Aquatic Dr #502 new elec permit CITY OF ATLANTIC BEACH
r r/ 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v' INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0022
Description: 125 amps/240 volts/single-phase- new multifamily service
Estimated Value: 0
Issue Date: 7/10/2017
Expiration Date: 1/6/2018
PROPERTY ADDRESS:
Address: 102 AQUATIC DR 502
RE Number: 177603 0000
PROPERTY OWNER:
Name: TBR AQUATIC OWNER LLC
Address: 1575 NORTHSIDE DRBLDG 100 STE 200
ATLANTA, GA 30318
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Vankirk Electric
Address: 62 N Jackson Street
Winder, GA 30680
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACR
800 Seminole Rd,Atlantic Beach,FL 32233 .
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: /#2 1fin Dhl o ift,502 r Q41an4ir Ranch FL 32233 PERMIT#
CRnilhtna Lbrmi4 Iln-CFAT-Ilq�)
JEA INFORMATION REQUIRED ON ALL PERMITS 12. AMPS �,VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead W1 Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps C✓i 101-150amps 0151-200amps 0 amps #of Meters
OCommercial(Main)Service
00-100 amps 0101-150amps 0151-200amps O amps OCT Service amps
Conductor Type Size
OMuld-Family(Main)Service
00-100 amps [3101-150amps 0151-200amps ❑_amps 0o Unit Meters_
❑Temporary Pole ❑_amps
SERVICE UPGRADE ❑------AMPS O CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps Damps OCT Service amps
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(a3kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty OTransformers ItVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plaits)
Qty_volta/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Grange OOH to UG
❑Other:
Pemdtbansucevoidif work deesnot wrnmonw within a six month period or work is suspended or abandoned for six months. (hereby artily Nat[have
.ad 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
specifiedornot. The permit does not give authority to violate thepmvisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Q Aa rn aaaryY ,11C Phone Number (.qo4)21q -9934
Electrical Company VCknVIiy17, Flertric Office Phone(roial4a5-asg4 Fax( 'Igl .t-
Co.Address: ln2 N Tc/Lr-L'yjYt StreeV- City lA)Udef fttt�Smte 6-A Zip 5000
License Holder(print): W 51Cel rrpa 'on# 210043
Notarizen(Signatare of LicenseHolder .� ia' dOkv T"(
Sworn and subscribed befor m ay o ' T 20-fl
Signature of Notary Public T 'd�••"%3
nminn
f vUr„
u
pCash Register Receipt ReceiptNumber
City of Atlanti c Beach R1935n
J
JH 9
DESCRIPTION ACCOUNT • E
PermitTRAK $1,062.00
ELPP17-0018 Address: 102 AQUATIC DR 401 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 1 $55.00
STATE SURCHARGES $4-00
STATE DBPR SU RCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 1 0 $2.00
ELPP17-0019 Address: 102 AQUATIC DR 402 APN: 1776030000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE I 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SU RCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ELPP17-0020 Address: 102 AQUATIC DR 403 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 1 455-0000-322-1000 0 1 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 1 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 0 $2.00
ELPP17.0021 Address: 102 AQUATIC DR 501 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 1 455-0000322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 1 455-0000208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 0 $200
ELPP17-0022 Address: 102 AQUATIC DR 502 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 1 455-0000322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 1 455-0000208-0600 0 $2.00
STATE DCA SURCHARGE 1 45500002080700 0 $2.00
Date Paid: Friday,July 07,2017
Paid By:Vankirk Electric
Cashier: BA
Pay Method:CREDIT CARD 7 4
Printed:Friday,July 07,20173:42 PM 3of4 i1
..REPRINT
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATUNTIC BEAC,FL 32273
07/07/2017 IS:38:43
MID:a6YT1IX8R81S TIC:MMNk%416
CREDIT CARD
VISA SALE
SEQ#:: &%V=W931
SEQ
aft#: 6 401
INVOICE
# Approval Co(e: 147
OSJ
Entry*##: M314G
Mode: 06h
CaA4000
Card code:o*: .
M
SAIEAMOUNT VEX
1 a gee M Pay above tof fW g
wardiy to ad arug q,,, t.
(AkrdWdad&nad d credit VU*)
y
MERCHANT Copy