490 Levy Rd electrical permit for meter can "T
A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,Fl,32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4113141 FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0028
Description: 600 amps/208 volts/3-phase-repair can damaged by lightning
Estimated Value: 0
Issue Date: 8/1812017
Expiration Date: 2/14/2018
PROPERTY ADDRESS:
Address: 490 LEVY RD UNIT 1
RE Number: 1710740000
PROPERTYOWNER:
Name: MIS TRACT LLC
Address: 1059 MIMOSA COVE CT E
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Nam:
Address:
Phone:
Nam: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13
JACKSONVILLE, FIL 32207
Phone:
PERMIT INFORMATION:
Please see affached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL"T APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Athintic Beach,FL 32233,
Ph(904)247-5826 Fax (904)247-5845 �'-L'
JoBADDREss:-ARO 6?vi RCID 1X\1i PERMIT#
Aklckauc vnmi:4 ync -5,IZ33
JEA INFORMATION REQUIRED ON ALL PERMITS -4dMAMPS ja VOLTS 3 PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Underground D Underground up Pole
[]Residential(Main)Service
:10-100turaps n101-150tarlpat I-151-200amps - amps of Meters
LCormserchal(Main)Service
70-100 mpg f'101-150amps F 151-200amps 11 mpg f CTServicemps
Conductor Type_ Sim
LiMulti-Family(Main)Service
FO-100maps 5101-150maxpas 151-200amps D mpg #of Unit Meters
LTemporary Pole 0___--amps
SERVICEUPGRADE O—garps CT Service_mpg
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100amps D150amps D200amps 1--Saaps OCT Service—mpg
ADDITIONS,REMODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps 31-100amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
A/C Cirmits: 0-60amps 61-100amps
Heat Circuits: #circuits @----�W
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]SwimmingPml ESign F]Smoke Detectors—Q�c ransforaters; KVA 3Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—voits/amps— VALUE OF WORK;
RFPtHSCELLANFOUS Safety Inspection LPmel Change DOH to UG
P
lace Burat/Damaged Meter Can
Other ckkr—ms�-�' du(- 'to �,,Lg,�eaj Up &*A�eTgj% -)o 4rep et A4EW
Permit brosannot void ifwork daaa�mu ememenes,within a six month period or work is su!:Tod� bd=dlm9ixmonth3. lhaelryourtifythallsaw
read this application and know the someto beton,and correct. All provisions oflaws and ordinance,snomaing this wurk will be eamplied with w1aller
spccifjW oe not. 'me parmt does not give authority an violate Lhe Provisions ofany otbax sum,or local law regulation conamn,tion or the Pexfomsonou of
comsernotion,
Property Ovvners Name HQ Pa I I -PhoreNumber
Electrical Company4twjiran Efa�, as/ con"c,6� Office Phone'N'I'73"If 71) Fax—
Co.Addrells: Z69'- ? fLgkdV47�'r Ci Gft—c�'ailus)IIr St'iA, zlp3-z?-C)J—
=n I
License Holder(Print): Z5�w /r, St ertification/Registration#
Notarized SignA%q.flip'cenere Holder
NOTAR.Y:U day of 0 257- 20Z7
eme
STATE OF F%LOR DA SWOrn and subscribed bezt
Ceram*GG068W Signal=of Notary Publi nAd!2
Expires 2aj2021
Cash Register Receipt Receipt Number
Im City of Atlantic Beach R2331
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $94.00
ELPP17-0028 Address; 490 LEVY RD UNIT 1 APN: 171074 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRSAND MISC 455-OCCO-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 0 $2.00
STATE DCA SURCHARGE 4550000208C $2.00
TOTAL FEES PAID BY RECEIPT: R2331 $94.00
Date Paid: Friday,August 18, 2017
Paid By:AMERICAN ELECTRICAL CONTRACTOR
Cashier; BA
Pay Method:CREDIT CARD 8
Printed: Friday,August L8,2017 3:02 PM 1 of 1 11
CM OF ATLAKTIC B�H
D
W SEKNOLE RD
ATLArMC BEAC,A.32233
Wlk2017 CREW cW IS:01A
MC Se
Cad#
SEQ#: OW M1482
S&#: 7
IWOICE 429
Amom C* 8
Evy Medw: 667510
ft: maul
Tax*ad. 011irm
Wco*: $0.00
Card W:
m
SkE AMOUNT
CUSTOMER Copy