156 SEMINOLE RD MCRS22-0012 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SIEFKEN DAVID R 156 SEMINOLE RD ATLANTIC BEACH FL 32233-4141
COMPANY:ADDRESS:CITY:STATE:ZIP:
GO SOLAR POWER LLC 933 CLINT MOORE RD BOCA RATON FL 33487
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170596 0000 SALTAIR SEC 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
156 SEMINOLE RD MECHANICAL RESIDENTIAL
OTHER
SOLAR PV ROOF MOUNTED
SYSTEM AND
INTERCONNECTED
$38838.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
MECHANICAL 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 $2.03
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: 9/12/2022
PERMIT NUMBER
MCRS22-0012
ISSUED: 9/12/2022
EXPIRES: 3/11/2023
MECHANICAL RESIDENTIAL OTHER
PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
State Zip Phone
_____________________
_____________________________
___________________________
_________________________ __
_Julibeth_______
Garcia_____ ____________________________
Building Permit Application Updated 10/9/18
City of Atlantic Beach Building Department
800 Seminole Road, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us
Job Address: Permit Number:
Legal Description RE# 170596-0000
Valuation of Work (Replacement Cost) $ Heated/Cooled SF Non- Heated/Cooled
Class of Work: □New □Addition □Alteration □Repair □Move □Demo □Pool □Window/Door
Use of existing/proposed structure(s): □Commercial □Residential
If an existing structure, is a fire sprinkler system installed?: □Yes □No
Will tree(s) be removed in association with proposed project? □Yes (must submit separate Tree Removal Permit) □No
Describe in detail the type of work to be performed:
Florida Product Approval # for multiple products use product approval form
Property Owner Information
Name Address
City
E-Mail
Owner or Agent (If Agent, Power of Attorney or Agency Letter Required)
Contractor Information
Name of Company Qualifying Agent
Address City State Zip
Office Phone Job Site Contact Number
State Certification/Registration # E-Mail
Architect Name & Phone #
Engineer’s Name & Phone #
Workers Compensation Insurer OR Exempt □ Expiration Date 06/30/23
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all the laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS,
WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS, and AIR CONDITIONERS, etc. 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.
OWNER’S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE
RECORDING YOUR NOTICE OF COMMENCEMENT.
_
(Signature of Owner or Agent) (Signature of Contractor)
Signed and sworn to (or affirmed) before me this _01 day of Signed and sworn to (or affirmed) before me this _01 day of
_July , 2022 , by David Siefken
_
July , 2022 , by Rafael Gonzalez _
(Signature of Notary)
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification:
(Signature of Notary)
[ ] Personally Known OR
[ ] Produced Identification
Type of Identification:
**ALL INFORMATION
HIGHLIGHTED IN GRAY
IS REQUIRED.
Rafael Gonzalez
ACE American Insurance Company
MCRS22-0012
By Mike Jones at 2:19 pm, Aug 01, 2022
REVIEWED FOR CODE COMPLIANCE
MCRS22-0012
LIMITED POWER OF ATTORNEY PERMITTING AUTHORIZATION FORM
I, _______________________________________
OWNER OF THE PROPERTY LOCATED AT ADDRESS:
_______________________________________________________________________
DO HEREBY AUTHORIZE RAFAELANGEL GONZALEZ MENDOZAAND COURTLAND WEISLEDER, THE
PERMITTING DEPARTMENT OF GO SOLAR POWER LLC TO SIGN AND APPLY FOR A BUILDING PERMIT and
INTERCONNECTION AGREEMENT ON MY BEHALF. THIS AUTHORIZATION IS VALID ONLY FOR THE
PURPOSE OF OBTAINING A PERMIT TO PERFORM THE SOLAR INSTALLATION, BATTERY STORAGE AND/OR
ROOF WORK CONTRACTED FOR BY AND BETWEEN OWNER AND GO SOLAR POWER LLC. THE ONLY
PERMIT (S) WHICH MAY BE APPLIED FOR UNDER THE TERMS OF THIS LETTER ARE THOSE WHICH THE
AUTHORITY HAVING JURISDICTION (CITY OR COUNTY) DEEMC(S) NECESSARY UNDER THE CURRENT
BUILDING CODE, GIVEN THE SCOPE OF WORK CONTRACTED FOR. GO SOLAR POWER LLC WILL BE
RESPONSIBLE FOR ANY AND ALL FEES ASSOCIATED WITH THIS PERMIT APPLICATION THE
AUTHORIZATION WILL REMAIN VALID UNTIL SUCH PERMIT(S) IS/ARE ISSUED BY THE RESPECTIVE
BUILDING DEPARTMENT, OR UNTIL ONE HUNDRED TWENTY (120) CALENDAR DAYS FROM THE DATE
LISTED BELOW HAVE TRANSPIRED, WHICHEVER IS LESS.
___________________________________________________________
HOMEOWNER SIGNATURE PRINTED NAME DATE
_________________________
NOTARY AS TO OWNER
Sworn and subscribed before me this ______ day
Of ______________, 20__ and [ ] is
personally known or [ ]produced
_____________as identification
13th
June 22
x
FL ID
MCRS22-0012
Page 2
2. Approval information showing that the solar system complies with FSEC standards has been
provided.
3. The site plan has been updated to show the TESLA Power Wall being installed in the utility room.
4. The room’s wall and ceiling finish has been installed.
5. The Power Wall is not located inside the garage and is protected from vehicular damage.
6. Smoke alarms or heat detectors will be installed and interconnected to the building’s existing
systems.
If you have any questions, please do not hesitate to ask
Sincerely,
D. Chad Godwin, PE 81360
Exp. 2/28/23
Donnie C
Godwin
2022.08.
19
10:03:36
'00'05-
8/4/22, 2:25 PM Go Solar Power Mail - JEA Interconnection Application For Project JEA-13213 - David R - Is Approved.
https://mail.google.com/mail/u/0/?ik=82ca9d82b4&view=pt&search=all&permthid=thread-f%3A1740255347343003135%7Cmsg-f%3A1740255347343…1/1
Vannessa Antivo <vannessa@gosolarpower.com>
JEA Interconnection Application For Project JEA-13213 - David R - Is
Approved.
1 message
JEA DISTRIBUTED GENERATION <DoNotReply@powerclerk.com>Thu, Aug 4, 2022 at 2:13 PM
Reply-To: JEA DISTRIBUTED GENERATION <DISTGEN@jea.com>
To: interconnection@gosolarpower.com, vannessa@gosolarpower.com, noel@gosolarpower.com,
nataly@gosolarpower.com
Cc: david.siefken@yahoo.com
JEA PROJECT #: JEA-13213
STATUS: Interconnection Application Approved by JEA
CUSTOMER NAME: Siefken David R
PROJECT ADDRESS: 156 Seminole Rd
Atlantic Beach, FL 32233
PV PANEL QUANTITY: Inverter: 18 x Enphase Energy 0.4 kW (Model IQ8A-72-2-US (240V) [SI1])
PV Module Array: 18 x SunPower 460W (Model SPR-M460-COM)
BATTERY STORAGE: Integrated Energy Storage: 1 x Tesla Inc. AC Powerwall 1092170-xx-y
COMMENTS:
NEXT STEP: Contractor Submits Active Electric Permit # From Local Building Department Into
PowerClerk.
JEA - System Analysis
www.jea.com
By Toni Gindlesperger at 3:44 pm, Aug 30, 2022
By Mike Jones at 9:07 am, Sep 01, 2022
GODWIN ENGINEERING AND DESIGN, LLC
8378 Foxtail Loop, Pensacola, FL 32583 | (850)712-4219 | chad@godwineng.com
August 19, 2022
To: City of Atlantic Beach
800 Seminole Road
Atlantic Beach, FL 32233
904-247-5800
Re: Residential PV Installation
David Siefken
156 Seminole Road
Atlantic Beach, FL 32233
To whom it may concern,
This letter is response to the inspection comments of the proposed Solar PV system at the address
above.
Discrepancy
1. Please submit documentation from JEA that your designed solar photovoltaic system installation
is approved for connection to the JEA power grid.
2. Please submit approval information concerning FLORIDA SOLAR ENERGY CENTER (FSEC). The
Laws of Florida (§ 377.705, FS) require that all solar systems manufactured or sold in the state of
Florida comply with Solar Equipment Standards promulgated by the Florida Solar Energy Center
(FSEC). These standards cover both solar thermal equipment and solar electric equipment. FSEC
works closely with industry, the research and development community and other interested
stakeholders to ensure that its Standards encourage the effective use of renewable energy
resources and protect the consumers of the state of Florida.
3. The site plan submitted shows that the TESLA Power Wall will be located on the interior of the
building. Please disclose information as to what the space is used for where the power wall will be
installed.
4. If that room’s wall and ceiling finish is not installed, the installation of 5/8 inch gypsum board is
recommended.
5. If the location of the power wall is in the garage and is in the potential path of a vehicle describe
how it will be protected from being struck by any vehicle (pipe bollard or curb); or disclose that it
will be installed at a height that a vehicle will not be able to come in contact with the power wall.
6. If installed in the house or garage, a smoke alarm will need to be installed interconnected to the
existing buildings smoke alarms; or a heat detector may be installed and connected to the existing
smoke detectors.
Corrections
1. JEA approved documentation has been provided
By Toni Gindlesperger at 3:40 pm, Aug 30, 2022By Mike Jones at 8:46 am, Sep 01, 2022
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $139.03
MCRS22-0012 Address: 156 SEMINOLE RD APN: 170596 0000 $139.03
BLDG SUBSEQUENT PLAN REVIEW FEES $50.00
BLDG 2ND PLAN REVIEW FEE 455-0000-322-1006 0 $50.00
MECHANICAL $85.00
MECHANICAL BASE FEE 455-0000-322-1000 0 $55.00
SOLAR COLLECTOR SYSTEM 455-0000-322-1000 0 $30.00
STATE SURCHARGES $4.03
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.03
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R20841 $139.03
Printed: Monday, September 12, 2022 8:42 AM
Date Paid: Monday, September 12, 2022
Paid By: GO SOLAR POWER LLC
Pay Method: CREDIT CARD 721710704
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R20841