337 Plaza ERES17-0079 elec permit s
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES17-0079
800 SEMINOLE ROAD ISSUED: 7/25/2017
vr'i ATLANTIC BEACH, FL 32233 EXPIRES: 1/21/2018
MUST CALL INSPECTION • 914 247-5814 BY , PM FORDAY INSPECT ON.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' + BUILDING
CODE, AND OF ATLANTIC + CH CODE OF ORDINANCES .
ALL • • OF PERMIT APPLY, r + + 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:
200 amps/240 volts/single-
337 PLAZA ELECTRICAL RESIDENTIAL phase - remodel switches, $900.00
lights
TYPE OF j
CONSTRUCTION: NUMBER • • '
170001 0000 ATLANTIC BEACH
COMPANY: ADDRESS:
CLG ELECTRICAL 453 GRAMPIAN HIGHLANDS DR JACKSONVILLE FL 32259
CONTRACTORS LLC
• ADDRESS:
MALZAHN PAUL NELS JR 337 PLAZA ATLANTIC BEACH Ft 32233
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.
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $6.90
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $59.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC SWITCH AND RECEPTACLE OUTLETS 4S5-0000-322-1000 0 $6.00
Issued Date:7/25/2017 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES17-0079
r ISSUED: 7/25/2017
800 SEMINOLE ROAD EXPIRES: 1/21/2018
ATLANTIC BEACH, FL 32233
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL:$134.90
Issued Date:7/25/2017 2 of 2
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0079
Description: 200 amps/240 volts/single-phase-remodel switches, lights
Estimated Value: 900
Issue Date: 7/25/2017
Expiration Date: 1/21/2018
PROPERTY ADDRESS:
Address: 337 PLAZA
RE Number: 170001 0000
PROPERTY OWNER:
Name: MALZAHN PAUL NIELS JR
Address: 337 PLAZA
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: CLG ELECTRICAL CONTRACTORS LLC
Address: 453 GRAMPIAN HIGHLANDS DR
JACKSONVILLE, FL 32259
Phone:
PERMIT INFORMATION:
Please see attached 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 PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 L L S
JoBADDREss: 334 plate 1 A+\cw\� 'ucc.w j 3=L 31'.33 PERMIT# RESpkT-o0oq
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS 24o VOLTS 1 PHASE
VALUE OF WORKS 900 . to
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
❑0-100 amps 0101-150amps 0151-200amps amps #of Meters_
❑Commercial(Main)Service
❑0-100 amps 0101-150amps 0151-200amps - amps ❑CTServiceamps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps ❑101-I50amps ❑151-200amps amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150i mps ❑200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: O 0-30amps 31-100amps 101-200=ps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign XSmoke Detectors4 Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
90ther: QDolm0,vvNclyq V"SScc- \; h 1 c.CV-S .
Pmw,tt becomes void ifwork does not corn m within a six month period or work is suspended or abandoned for six months. I hereby certify Net 1 have
read this application and know the same to he sue 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 arty other state or local law regulation construction or the performance of
constramon.
Property Owners Name M4\4cM Pau,, nn:\S 'Jr. Phone Number (148) ata - 3108
Electrical Company CLCi E\r.C.iv;CAl tnval+G.t�o+s L1-C _ Office Phone(9-4)61,1- 149 Fax
Co.Address:_ y53 clry4M G�twvrois Dr City 5� State F L Zip 1-2.5
License Holder(Print): rtn S Lo C State Certification/Registration# ER 13014 6 38
ns older
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ff3n�Sld
acc users
ara,20p Sworn and subs:d'before me this
wmum,e.,a.,+ T
Signatlue of NoPblic - .