102 Aquatic Dr #503 new elec permit Af�I
' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5514
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0023
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 503
RE Number: 177603 0000
PROPERTY OWNER:
Name: TBR AQUATIC OWNER LLC
Address: 1575 NORTHSIDE DRBLOG 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 BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: /02 gltafic DrAm ]P ( . Alctnh1F,mtka. FL 32233 PERMIT#
(RniMlna Lbrmii Iln-SEAT-1-191 )
JEA INFORMATION REQUIRED ON ALL PERMITS 125 AMPS 2e1.6 VOLTS I PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground D Underground tip Pole
❑Residential(Main)Service
00-100 amps B'101-150amps 0151-200amps ❑ amps 4o Meters
❑Commercial(Main)Service
00-100 amps F1101-150amps D151-200amps ❑ amps our Serviceamps
Conductor Type Size
UMulfi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑_amps #of Unit Meters_
OTemporary Pole❑ amps
SERVICE UPGRADE Oamps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 11200amps D amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switchm: 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:
OTHER ELECTRICAL PROJECTS
❑Swimming Poo] ❑ Sign ❑Smoke Detectors Qty OTransformers KVA OMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change OOH to UG
❑Other:
Permit becomes void If work does notesmoo..e within s six month period orwork is suspended or abandoned for six months. I hereby certify,that these
read this application and know the same to be true and corse' Aa 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 my other stem or local law regulation construction or the pedonoence of
conslmaket.
Property Owners Name 1'BQ A^u_nliC owrlt'_1r,11C Phone Number(,gb4)21q -gq314
Electrical Company Vv_nl24vtz Rgartr-ic Office Phone(mZx)415-cAg4 Fax(t.38lcy
Co.Address: (02 N TatYSOh S}YeeF City WIindeir i "IN, State GA Zip 5000
J..........0 "1. .
License Helder(Print): S( S to Cet eYS'—Qlohion# 21oG43
Notarized Signature ofLieense Holder r r.� ; ;i JULY
'�.
Sworn and subscribed befor In � aY o ' 20. /1
Signature of Notary Public pvyJ a
uumw •
Y y;S�i1Yy fO ReceiptCash Register Receipt Number
City O
of
ff ��
DESCRIPTION R CITY PAID
PermitTRAK $1,062.00
ELPP17-0023 Address: 102 AQUATIC DR 503 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 1 455-0000-322-1000 0 $55.00
STATESURCULRGES $4.00
STATE DBPR SURCHARGE 1 455-0000-208-0600 0 52.00
STATE DCA SURCHARGE 1 45500002080700
ELPP17-0024 Address: 102 AQUATIC DR 601 APN: 1776030000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE I 455-0000-322-1000 0 $55.00
STATE SURCIULRGES $4.00
STATE DBPR SURCHARGE 1 455-000U2DRO 0 $2.00
STATE DCA SURCHARGE I 45500002080700 0 $2.00
ELPP17-0025 Address: 102 AQUATIC DR 602 APN: 177603 0000 $59.00
ELECTRICAL $55.00
ELECTRICAL BASE FEE 1 455-0000-322-1000 0 $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
TOTAL / $1,062.00
Date Paid: Friday,July 07,2017
Paid By:Vankirk Electric
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Friday,July 07,2017 3:42 PM 4 of 4
REPRINT . , ,
CRY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC SEAC,F.32233
07/0712017 1538.43
M XXXW00=815 TIC:XKKKK416
CREDR CARD
VISA SALE
Cada XXXXV%%N%%R5931
SEQ#: 6
Bath#: 401
INVOICE 7
Approval Code: 05314G
Entry McBtod'. Maual
Mak: Online
Tae Mwmt: $0.00
Cad Cade: M
SALE AMOUNT $10 w
I agree to pay above total amount
acadl to ad suer agreemwt,
(Merchant agreanent 0 Credit Voxlxr)
X-
-MERCHANT COPY