1071 Atlantic Blvd ELPP21-0015 Install Sprinkler OutletOWNER:ADDRESS:CITY:STATE:ZIP:
SIX POINTS JAX LLC CO TSG REALTY JACKSONVILLE FL 32217
COMPANY:ADDRESS:CITY:STATE:ZIP:
A.G.E. ELECTRICAL
CONTRACTORS 6936 HANSON DR S JACKSONVILLE FL 32205
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
177411 0040 SECTION LAND
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1071 ATLANTIC BLVD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS
Install Sprinkler Outlet 400
Amps 208V 3Ph $300.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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
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: 3/10/2021
PERMIT NUMBER
ELPP21-0015
ISSUED: 3/10/2021
EXPIRES: 9/6/2021
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $94.00
2 of 2Issued Date: 3/10/2021
PERMIT NUMBER
ELPP21-0015
ISSUED: 3/10/2021
EXPIRES: 9/6/2021
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $94.00
ELPP21-0015 Address: 1071 ATLANTIC BLVD APN: 177411 0040 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: R15146 $94.00
Printed: Wednesday, March 10, 2021 11:01 AM
Date Paid: Wednesday, March 10, 2021
Paid By: A.G.E. ELECTRICAL CONTRACTORS
Pay Method: CREDIT CARD 431770780
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R15146
Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: BuildinR-Deptigicoab.us PERMIT#:
JOB ADDRESS: Atlantic Blvd PROJECT VALUE $S 300 Q0
•*ALL INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
JEA INFORMATION REQUIRED ON ALL PERMITS: 400 AMPS 2<^8 VOLTS 3 PHASE
I I NEW SERVICE: OOverheod HUnderground ^^Undergroundup Pole
•Residential (Main) Service:
nO-lOOamps Dl01-150amps Ol51-200amps • amps
•Cammercial (Main) Service:
•O-lOOamps CllOl-lSOamps Ol51-200amps • amps
Conductor Type Size
# of Meters
nCT Service amps
nMulti-Family (Main) Service;
nO-100 amps OiOl-lSOamps Ol51-200amps _amps # of Unit Meters
r~l TEMPORARY POLE: amps
SERVICE UPGRADE: • amps •CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUaURES, ETC.):
niOO amps niSOamps n^OOamps O amps E3CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-lOOamps 101-200amps
Appliances: D-30amps 31-lOOamps 101-200amps
A/C Circuits: 0-60amps 61-lOOamps
Heat Circuits; # circuits @) kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
•Swimming Pool nSIgn DSmoke Detectors (Qty) Dfransformers. KVA • Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
•Replace Burnt/Damaged Meter Can DSafety Inspection
BDther: Install Sprinkler timer outlet exterior
•Panel Change •OH to UG
Updated 10/27/18
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, r~i i
Owner Name: TSG Realty Phone Number: (904) 744'^65
Electrical Company: A.O.E. Electncal Cont., Inc.
Co. Address: lOHFountain Road
Office Phone: (mT?^03To Fax:
City: JaeksonviBe State: .FL zip: 322&5
License Holder: R. BradteV Smith
Notarized Signature of License Holder , /7
State Certification/Registration #: •ECi30Q1132
TlyinMtgarrTg.irM.tmrTigni.rxta^.arUMc^MdyHgpH before me this ^ dav of /?1/3ACH , 20 "7-1, in the state of Florida, County of i)vtvAL
Signature of Notary Public P ^ \CL\A^ .4^
lit
EARL A. KERR
Notary Public - State of Florida
Commission ilf GG 203SOB
'^•^^^ My Comm. Expires May 6, 2022
Bonded through National Notary Assn.
>4'Persona!ly Known OR
Type of Identification:
Produced Identification
ELPP21-0015