2075 VELA NORTE CIR MCRS21-0011 ;s.,\,..,. Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
7,
- °' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233• C1SZ � - 00
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V Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 2075 Vela Norte Cir PROJECT VALUE $$250.00
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS VOLTS PHASE
❑ NEW SERVICE: 0 Overhead OUnderground ['Underground up Pole
❑Residential (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
00-100 amps C1101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
El SERVICE UPGRADE: ❑ amps OCT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 0150amps 0200amps 0 amps )xT 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 @ kw
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PROJECTS:
❑Swimming Pool Sign ❑Smoke Detectors (Qty) ['Transformers KVA ['Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
1-17/1 REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
✓tether:change out exhaust fan Updated 10/17/18
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.
Owner Name: Grant & Maria Healy Phone Number: (904)813-5384
Electrical Company: Millennium Electrical Contracting, Inc Office Phone: (904)219-5003 Fax: _
Co.Address: 3948 Third St South#283 City: Jacksonville Beach State: Fl Zip: 32250
License Holder: Millennium Electrical tate -rtifi : ion/Registration#: EC13001449
Notarized Signa lIJltftplf Holder
IN
The forego P vJ>O wledged before me this `� day of v(,b►d(ij' 20 the S .te of Florida,County of VUVpIL
.•4�Qo0t�' 04 �••,Signature of Notary Public
An• =
I. .k •: ••• * E RiPersonally Known OR[ ]Produced dentification
NOG 364533 Type of Identification:
'moi 1' Fcm'nit.. ' O ,Z,
MECHANICAL RESIDENTIAL OTHER PERMIT NUMBER
J '\ MCRS21-0011
��►�"- PERMIT
Y ISSUED: 10/14/2021
CITY OF ATLANTIC BEACH EXPIRES: 4/12/2022
MUST CALL INSPECTION PHONE LINE19O4) 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:
2075 VELA NORTE CIR MECHANICAL RESIDENTIAL EXHAUST FANS $250.00
OTHER
TYPE OF REAL ESTATE j BUILDING USE
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169506 1088 SELVA NORTE UNIT 01
COMPANY: ADDRESS: CITY: STATE: ZIP:
MILLENNIUM ELECTRICAL 6661 SOUTHPOINT PARKWAY JACKSONVILLE FL 32216
CONTRACTORS LLC
OWNER: i ADDRESS: CITY: STATE: ZIP:,
HEALY GRANT A 2075 VELA NORTE CIR JACKSONVILLE FL 32233-4533
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
MECHANICAL 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
VENTED WALL FURNACE WATER HEATER UNIT 455-0000-322-1000 1 $5.00
TOTAL:$64.00
Issued Date: 10/14/2021 1 of 2