1480 MAYPORT RD - ELECTRIC SIGN �j rL�r fl
?. ' IS. CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELEC17-0010
Description: ELECTRIC SIGN
Estimated Value: 0
Issue Date: 10/18/2017
Expiration Date: 4/16/2018
PROPERTY ADDRESS:
Address: 1480 MAYPORT RD
RE Number: 170794 0000
PROPERTY OWNER:
Name: JAX PETRO LLC
Address: 380 COMMERCE PKWY
ROCKLEDGE, FL 32955
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: A & M ELECTRIC CONTRACTOR LLC
Address: 1147 Heartwood DR
DELAND, FL 32720
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
k\4\\°
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 L EC 17 - 001 0
JOB ADDRESS: 1480 MAYPORT RD PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$500.00
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps amps # of Meters
0 Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICA} 2OJECTS
LI Swimming Pool TiSmoke Detectors Qty [I Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can LI Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
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 o f
construction.
Property Owners Name JAX PETRO LLC Phone Number
Electrical Company A&M ELECTRIC CONTRACTOR LLC Office Phone 386-734-2864 Fax
Co.Address: 1147 HEARTWOOD DR City DELAND State FL Zip 32720
License Holder(Print): JOHN W MATTHEWS JR J// �SSttate Ce ification/Registration# E00002815
Notarized Signature of License Holder e2/,..l�.I litd b
.,...., __ Swo d subscribed befo`• e is o k day of 20 fl
DE3RA J.BASS
,., % MY COMMISSION AFF 295 Signature of Notary Public
N:. o EWPIRES:MI6,2620
'�' P' Bonded Thu Notary Publx Urkletwriter9