1221 Mayport Rd ELPP23-0043 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SHOPPES OF A1A NORTH
LLC 4237 SALISBURY RD N STE 212 JACKSONVILLE FL 32216
COMPANY:ADDRESS:CITY:STATE:ZIP:
PHASE ONE ELECTRIC LLC 2036 MAYPORT RD JACKSONVILLE FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171090 0100 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1221 MAYPORT RD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER
BLDG PLANS
Interior remodel electrical -
Tiki Bar $35000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 20 $12.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $12.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
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: 9/7/2023
PERMIT NUMBER
ELPP23-0043
ISSUED: 9/7/2023
EXPIRES: 3/5/2024
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $91.00
2 of 2Issued Date: 9/7/2023
PERMIT NUMBER
ELPP23-0043
ISSUED: 9/7/2023
EXPIRES: 3/5/2024
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
t 'Phone: (904)
AA()
247-5826 Email: Building-Dept@coab.us PERMIT#: ap? _(y0"U
JOB ADDRESS: I g, ( 2 +f' PROJECT VALUE $ , n
JEA INFORMATION RE LARED ON ALL PERMITS:)AMPS VOLTS 3 PHASE
NEW SERVICE: 0 Overhead Underground ['Underground up Pole
EJ esidential (Main)Service:
00-100 amps 13101-150amps 1:1151-200amps amps of Meters
Commercial(Main)Service:
0-100 amps 0101-150amps 1:1151-200amps amps OCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
TEMPORARY POLE: amps
SERVICE UPGRADE: 0 amps OCT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 200amps amps Da 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: _
1 ..
L
El 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
REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can OSafety Inspection panel Change DOH to UG
ather: 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. 1 AJ /\c C3C. CD,7_ G-cOwnerName: f' C:C(` Phone Number: l/'
Electrical Company: v C U.K:,Tr Office Phone: 0•[,l\ 2-W)G- Fax:
l
Co.Address: C C, M 4cr2City: State: YL Zip:3223.
License Holder: ( Du/et- veC; v\'
State Certification/Registration#: L K_ l\1c/
Notarized Signature of License Holder
f
The foregoing instrument was acknowledged before me this Oilss • of Z 1 'A/.t4;2023 in the tate of Florida,County of .bi;va,(
Signature of Notary Public
VANESSA ANGERS
i-r MY COMMISSION#HH 244118 [ ]Personally Known OR[ od ed Identification
i,10,;',•-' EXPIRES:March 23,2026 Type of Identification: it £;____ (A,v'e i Vct r\ 4{ ,t,,,p