1880 S Mealy St ELPP17-0034 electrical safety permit f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
V� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP17-0034
Description: 400 amps/240 volts/3 phase-safety inspection meter#05239130
Estimated Value: 0
Issue Date: 10/11/2017
Expiration Date: 4/9/2018
PROPERTY ADDRESS:
Address: 1880 S MEALY ST
RE Number: 172326 0100
PROPERTY OWNER:
Name: 1880 ATLANTIC BEACH L L C
Address: 2650-2 ROSSELLE ST
JACKSONVILLE, FL 32204
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: AMERICAN ELECTRICAL CONTRACTOR
Address: 5065 ST AUGUSTINE RD APT 13 5065 ST. AUGUSTINE RD#13
JACKSONVILLE, FL 32207
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$7,500.
�--- L 1 01-4- bd 3y
ELECTRICAL PERMIT APPLICATION
1 ��1T'�' �?r' ,a.'t'1.Av•I•!r, }��..�.C'{l' �' d D
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 :SS-P'�''�
JOB ADDRESS: i' �', �� _ {-�(yt ' S+-wti _ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS UCS AMPS RHO O VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
L Residential(Main) Service
U-100 amps 0101-150amps 151-200amps I amps #of Meters
F Commercial(Main) Service
1.10-100 amps P101-150amps 151-200amps C _amps CT Service amps
— --
Conductor Tvpe Size
LMulti-Family(Main)Service
FO-100 amps ❑101-150amps f 151-200amps F amps #of Unit Meters
CTemporary Pole U amps
SERVICE UPGRADE U amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L 100 amps Ll 150amps f_i200amps L amps L CT 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:
OTHER ELECTRICAL PROJECTS
I Swimming Pool F Sign LSmoke Detectors Qty I_ITransformers KVA LMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps i')3 0 WO
:Z 3Ak��
REPAIRS/MISCELLANEOUS I
LReplace Bumt/Damaged Meter Can Safety Inspection L.'Panel Change CIOII to UG
II
LOther:
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. kv C AAA e
Property Owners Name $W U Adgd it,Emch /+C C C 7— Phone Number
Electrical Company �YG1�dlCeltiJ Gl eG�r� LC fa�j7Lt'0e,Z7 Office Phone ��`t�3 rl'111'70Fax
Co.Address: ��S .5� /�'y� use-; �� City .1 u C( fyW>l,(f State Zip
License Holder (Print): G i cation/ egistratioP � 0 T11
Notarized Signature cense Holder l�
,tom Anna
Y NOTARY PUBLIC Sworn and subscribed b fore me this day o 0 20
�Z STATE OF FLORIDA
comms GGwM4 Signature of Nota Pub 'c
EE Expires 2/2/2021 rY
12-
sh • • • � • • • '• •
ofAtlanticBeach R3131
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $369.83
ELPP17-0034 Address: 1880 S MEALY ST APN: 172326 0100 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
ERES17-0149 Address: 328 5TH ST APN: 169834 0000 $179.63
ELECTRICAL $175.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC HEAT 455-0000-322-1000 0 $120.00
STATE SURCHARGES $4.63
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.63
STATE DCA SURCHARGE 45500002080700 0 $2.00
ERES17-0150 Address: 20 SEMINOLE LANDING RD APN: 168908 1030 $81.20
ELECTRICAL $77.20
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 31 $18.60
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALPAID BY RECEIPT: R3131 $369.83
N � �' o io v oo E M
t m —'� 0 OO
M X 1V C t�
�XxG M
ra
M x
V N X
N
m M }
d
d ... O
V
O cxO fs
Z V Z V
V Q o V y 1
V
Date Paid: Wednesday, October 11, 2017 N = o o a� '-3 -LA W
d A z � io 7 d
Paid By: AMERICAN ELECTRICAL CONTRACTOR " `" m `" $"'
Cashier: BA
Pay Method: CREDIT CARD 9
Printed:Wednesday,October 11,2017 3:40 PM 1 of 1