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1936 Beach Ave SOLR21-0008OWNER:ADDRESS:CITY:STATE:ZIP: HOEY GERALD W 1936 BEACH AVE ATLANTIC BEACH FL 32233-5937 COMPANY:ADDRESS:CITY:STATE:ZIP: Tesla Energy Operations 8500 PARKLINE BLVD SUITE 100 Orlando Fl 32809 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 169542 0710 BEACHSIDE REPLAT JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1936 BEACH AVE ELECTRICAL SOLAR PANEL ELECTRIC FOR SOLAR SYSTEM & TESLA POWERWALLS $39340.00 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: 12/30/2021 PERMIT NUMBER SOLR21-0008 ISSUED: 12/30/2021 EXPIRES: 6/28/2022 ELECTRICAL SOLAR PANEL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 12/30/2021 PERMIT NUMBER SOLR21-0008 ISSUED: 12/30/2021 EXPIRES: 6/28/2022 ELECTRICAL SOLAR PANEL PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $89.00 SOLR21-0008 Address: 1936 BEACH AVE APN: 169542 0710 $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: R18393 $89.00 Printed: Thursday, December 30, 2021 1:13 PM Date Paid: Thursday, December 30, 2021 Paid By: Tesla Energy Operations Pay Method: CREDIT CARD 567934462 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18393 ~+; CENTRALSQUARE Revision Request/Correction to Comments City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Bui ld i ng-Dept@coab.us PERMIT#: _______ _ D Revision to Issued Permit OR 0 Corrections to Comments Date: 1210912021 Project Address: _1_93_6_B_ea_ch_Av_e ______________________________ _ Contractor/Contact Name: _D_a_nie_l_F_on_zi_· ___________________________ _ Contact Phone: (954) 541-0036 Email: Jacksonvillepic@Tesla.com ....:...,__;_ __________ _ Description of Proposed Revision/ Corrections: Building Permit Application updated with building portion on job value, Electrical permit application added JEA Approval letter added, Three Line Diagram on plans have been updated to JEA's requirements. Attached copy of contract to refer pricing (electrical app 80% of job value and building app 20% of job value) l,_o_an_ie_, _Fo_n_zi __________ affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? 0No D Yes (additional s.f. to be added: ____________ ) •~ill proposed revision/corrections add additional increase i e to original submittal? l.i.JNo D*Yes (additional increase in building value : $-M-~'-c--+-~---) {Contractor must sign if increase in valuation) (Office Use Only) c.J Approved LJ Denied L Not Applicable to Department Permit Fee Due$. _____ _ Revision/Plan Review Comments, _____________________________ _ Department Review Required: Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date Updated 10/17/18 200 1120/240 Tesla Energy Operations, Inc.954.541.0036 SOLR21-0008 8500 Parkline Blvd Suite 100 Orlando 32809 Electrical Permit Application City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Bui l ding-Dept@coab.us nALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. PERMIT#: ______ _ JOB ADDRESS: 1936 Beach Ave Atlantic Beach, FL 32233 PROJECT VALUE$$ 39,340.00 ---------- JEA INFORMATION REQUIRED ON ALL PERMITS: __ AMPS VOLTS PHASE 0 NEW SERVICE: □ Overhead □Underground □Underground up Pole [:Residential (Main) Service: □D-100 amps 0101-lS0amps D151-200amps D, ___ amps # of Meters __ _ □commercial (Main) Service: Do-100 amps □101-1soamps D1s1-2ooamps D'---__ amps OCT Service ___ amps Conductor Type ________ Size ______ _ □Multi-Family (Main) Service: Do-100 amps O101-lS0amps O151-200amps D ___ amps # of Unit Meters __ _ □ TEMPORARY POLE: ___ amps □ SERVICE UPGRADE: 0 amps , __ _ [JCT Service ___ amps □ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 0100 amps OlS0amps O200amps D ___ amps D:T Service ___ amps □ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: ___ 0-30amps ___ 31 -lOOamps ___ 101-200amps Appliances: ___ 0-30amps ___ 31-lO0amps ___ 101-200amps A/C Circuits: ___ 0-60amps ___ 61-lO0amps Heat Circuits: ___ #circuits @ ___ kw Number of Lighting Outlets, Including Fixtures: __ _ □ OTHER ELECTRICAL PROJECTS: Dswimming Pool □Sign Dsmoke Detectors ___ (Qty) []Transformers ____ KVA □Motors ___ HP □ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty ____ volts/amps ____ _ [{] REPAIRS/MISCELLANEOUS: □Replace Burnt/Damaged Meter Can □Safety Inspection Danel Change OOH to UG 0Jther: Electrical Installation of roof mounted Photovoltaic Solar System and Tesla Powerwall(s) 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: Gerald Hoey Phone Number : ....;.(9_04_,;)_5_91_-1_0_32 _______ _ Electrical Company: ________________ Office Phone : ___________ Fax : _____ _ Co. Address:----------------::--~--#-'----City: ________ State:~ Zip: ___ _ State Certification/Registration#: _E_c_13_o_os_22_s _____ _ [v{Personally Known OR [ ] Produced Identification Type of Identification : ________________________ _ From:JEA Distributed Generation To:Cliff Shiferdek; Donivan Williams; Ricky Smith Cc:Interconnection.FL; Jeremy Maldonado; jerry@beacheswoodcrafts.com; Lundeen, Timothy M. - Manager System Analysis; Gutierrez, Edgar A. - Associate Program Manager; JEA Distributed Generation Subject:JEA Solar Permit Approval - DER+Battery #11257 - 1936 BEACH AVE - 32233 - HOEY,JERRY W - Tesla Energy Operations Date:Monday, November 29, 2021 8:56:26 AM This customer’s PV system as submitted meets JEA’s Distributed Generation (DG) system requirements. This project includes a battery system for energy storage. This project will be connected to JEA’s grid in compliance with JEA’s Distributed Generation (DG) policy. PV credits for kWh JEA receives from your solar system will be calculated using JEA’s fuel rate. This message is not a statement that the application document package is complete and approved. Note; Premises HOEY,JERRY W (904) 591-1032 1936 BEACH AVE Phone () - JACKSONVILLE 32233 PV System Information From Application 36 panels 12.240 kWdc 2 inverter(s) Tesla Battery 21.00 kWdc 40.50 kWh Contractor Tesla Energy Operations Tesla Enegy Operations Inc; 6611 Las Vegas Blvd S, Las Vegas, NV; 89119; (888) 765-2489 interconnection@tesla.com; F. 866-819-7858 Jeremy Maldonado; jermaldonado@tesla.com Project Specialist, Residential Customer Operations 6569 S. Las Vegas Blvd., Las Vegas, NV 89119 Ashley Johnson <asjohnson@tesla.com> Dennis Fleming; JEA DSM Coordinator 21 West Church St. T-12; Jacksonville, FL 32202-3139 distgen@JEA.com SOLR21-0008 Revision Request/Correction to Comments City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Bui ld i ng-Dept@coab.us PERMIT#: _______ _ D Revision to Issued Permit OR 0 Corrections to Comments Date: 1210912021 Project Address: _1_93_6_B_ea_ch_Av_e ______________________________ _ Contractor/Contact Name: _D_a_nie_l_F_on_zi_· ___________________________ _ Contact Phone: (954) 541-0036 Email: Jacksonvillepic@Tesla.com ....:...,__;_ __________ _ Description of Proposed Revision/ Corrections: Building Permit Application updated with building portion on job value, Electrical permit application added JEA Approval letter added, Three Line Diagram on plans have been updated to JEA's requirements. Attached copy of contract to refer pricing (electrical app 80% of job value and building app 20% of job value) l,_o_an_ie_, _Fo_n_zi __________ affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? 0No D Yes (additional s.f. to be added: ____________ ) •~ill proposed revision/corrections add additional increase i e to original submittal? l.i.JNo D*Yes (additional increase in building value : $-M-~'-c--+-~---) {Contractor must sign if increase in valuation) (Office Use Only) c.J Approved LJ Denied L Not Applicable to Department Permit Fee Due$. _____ _ Revision/Plan Review Comments, _____________________________ _ Department Review Required: Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date Updated 10/17/18 200 1120/240 Tesla Energy Operations, Inc.954.541.0036 SOLR21-0008 Electrical Permit Application City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us **ALL INFORMATION HIGHLIGHTED IN GRAY rs REQUIRED. PERMIT#: ______ _ JOB ADDRESS: 1936 Beach Ave Atlantic Beach, FL 32233 PROJECT VALUE $_S_3_9,_34_o_.o_o ____ _ JEA INFORMATION REQUIRED ON ALL PERMITS: __ AMPS VOLTS PHASE 0 NEW SERVICE: □ Overhead □Underground □Underground up Pole ~esidential (Main) Service: □0-100 amps 0101-lSOamps D151-200amps _o ____ amps # of Meters __ _ D::ommercial (Main) Service: Do-100 amps O101-lS0amps D1s1-2ooamps □~ __ amps OCT Service ___ amps Conductor Type ________ Size ______ _ □Multi-Family (Main) Service: Ol-100 amps O101-lSOamps D1s1-2ooamps D ___ amps # of Unit Meters __ _ □ TEMPORARY POLE: ___ amps 0 SERVICE UPGRADE: □. ___ amps 0:T Service ___ amps 0 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): □100 amps O1soamps D200amps D. ___ amps 0::T Service ___ amps □ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: ___ 0-30amps ___ 31-lOOamps ___ 101-200amps Appliances: ___ 0-30amps ___ 31-lO0amps ___ 101-200amps A/C Circuits: ___ 0-60amps ___ 61-lO0amps Heat Circuits: ___ #circuits @ ___ kw Number of Lighting Outlets, Including Fixtures: __ _ □ OTHER ELECTRICAL PROJECTS: []swimming Pool □Sign □smoke Detectors ___ (Qty) OTransformers ____ KVA □Motors ___ HP □ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty ____ volts/amps ____ _ 12] REPAIRS/MISCELLANEOUS: □Replace Burnt/Damaged Meter Can □Safety Inspection □Panel Change OOH to UG [2]:)ther: Electrical Installation of roof mounted Photovoltaic Solar System and Tesla Powerwall(s) 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 liereby 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 ath er state or local law regulation construction or the perfo rma nee of construction. Owner Name: Gerald Hoey Phone Number: ...:.(9_0....:4);_5_9_1-_10_32 _______ _ Electrical Company: _________________ Office Phone: ___________ Fax: _____ _ Co. Address: 1936 Beach Ave City: Atlantic Beach State:~ Zip: _3_22_3_3 __ SOLR21-0008 Revision Request/Correction to Comments City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 **ALL INFORMATION HIGHLIGHTED IN GRAY IS REQUIRED. Phone: (904) 247-5826 Email: Bui ld i ng-Dept@coab.us PERMIT#: _______ _ D Revision to Issued Permit OR 0 Corrections to Comments Date: 1210912021 Project Address: _1_93_6_B_ea_ch_Av_e ______________________________ _ Contractor/Contact Name: _D_a_nie_l_F_on_zi_· ___________________________ _ Contact Phone: (954) 541-0036 Email: Jacksonvillepic@Tesla.com ....:...,__;_ __________ _ Description of Proposed Revision/ Corrections: Building Permit Application updated with building portion on job value, Electrical permit application added JEA Approval letter added, Three Line Diagram on plans have been updated to JEA's requirements. Attached copy of contract to refer pricing (electrical app 80% of job value and building app 20% of job value) l,_o_an_ie_, _Fo_n_zi __________ affirm the revision/correction to comments is inclusive of the proposed changes. (printed name) • Will proposed revision/corrections add additional square footage to original submittal? 0No D Yes (additional s.f. to be added: ____________ ) •~ill proposed revision/corrections add additional increase i e to original submittal? l.i.JNo D*Yes (additional increase in building value : $-M-~'-c--+-~---) {Contractor must sign if increase in valuation) (Office Use Only) c.J Approved ~enied L Not Applicable to Department Permit Fee Due$. _____ _ Revision/Plan Review Comments, _____________________________ _ Department Review Required: Building Planning & Zoning Tree Administrator Public Works Public Utilities Public Safety Fire Services Reviewed By Date Updated 10/17/18 200 1120/240 Tesla Energy Operations, Inc.954.541.0036 SOLR21-0008 i .:, ~ ~t t> l! .I•,._, i( Q~ Electrical Permit Application City of Atlantic Beach Building Department 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Bui1ding-0ept@coab.us **ALL INFORMATION HIGHLIGHTED IN GRAY rs REQUIRED. PERMIT#: ______ _ JOB ADDRESS: 1936 Beach Ave Atlantic Beach, FL 32233 PROJECT VALUE $_$_3_9,_34_0_.o_o ____ _ JEA INFORMATION REQUIRED ON ALL PERMITS: __ AMPS VOLTS PHASE 0 NEW SERVICE: □ Overhead □Underground □Underground up Pole ~esidential (Main) Service: □0-100 amps 0101-lSOamps D151-200amps _o ____ amps # of Meters __ _ D::ommercial (Main) Service: Do-100 amps O101-lS0amps D1s1-2ooamps □~ __ amps OCT Service ___ amps Conductor Type ________ Size ______ _ □Multi-Family (Main) Service: Ol-100 amps O101-lSOamps D1s1-2ooamps D ___ amps # of Unit Meters __ _ □ TEMPORARY POLE: __ _;amps 0 SERVICE UPGRADE: □. ___ amps 0:T Service ___ amps 0 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): □100 amps O1soamps D200amps D. ___ amps 0::T Service ___ amps □ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC: Outlets/Switches: ___ 0-30amps ___ 31-lOOamps ___ 101-200amps Appliances: ___ 0-30amps --~31-lO0amps ___ 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 Dsmoke Detectors ___ (Qty) OT ra nsformers ____ KVA □Motors ___ HP □ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty ____ volts/amps ____ _ 12] REPAIRS/MISCELLANEOUS: □Replace Burnt/Damaged Meter Can □Safety Inspection □Panel Change OOH to UG [2]:Jther: Electrical Installation of roof mounted Photovoltaic Solar System and Tesla Powerwall(s) 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 ath er state or local law regulation construction or the perfo rma nee of construction. Owner Name: Gerald Hoey Phone Number: ..:..(9_0....:;4)_5_91_-1_0_32 _______ _ Electrical Company: _________________ Office Phone: ___________ Fax: _____ _ Co. Address: 1936 Beach Ave City: Atlantic Beach State:~ Zip: _3_22_3_3 __