1844 Mayport Rd safety inspection permit r � CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
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: ELPP18-0006
Description: 100 amps/120 volts/single-phase-safety inspection
Estimated Value: 1750
Issue Date: 2/14/2018
Expiration Date: 8/13/2018
PROPERTY ADDRESS:
Address: 1844 MAYPORT RD
RE Number: 172236 0010
PROPERTY OWNER:
Name: OSSI KLOTZ LLC
Address: PO BOX 330833
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: Electric R Us LLC
Address: 5929 Ramona Boulevard
Jacksonville, FL 32205
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.
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.
* 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 C. p p 1 — UUP
JOI; ADDRESS: g y L-i M 7a't 1�d PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS I CAMPS VOLTS -„ PHASE
VALUE OF{i'ORK 5T SD, �,
NEW SERVICE W Overhead ❑ Underground ❑? Underground up Pole
Residential(Main)Service
0-100 amps 101-150antps 151-200amps amps #of Meters
Commercial(Main)Service
X0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Sen ice
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
Temporan'Pole . amps
SERVICE UPGRADE amps CT Scrvice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
X100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/S%vitches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30atnps 31-100atnps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits L kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
S%kintming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty wlts/amps VALUE OF IVORK 5
REPA I RS/AI ISCELLANEOUS
Replace Burnt!Damaged Meter Can (Safety Inspection Panel Change Oli to UG
)Other:
%k'10 n %%Ork dor.,nol auumenee%�ilhIn a sig month period or 11or1.is suspended or ahandoncd!ia sig nwnths. I herch% ctiuit} 111,111 ha%c
re.1d this application and kno"the same to he true and correct. All pro%isions of lasts and ordinances governing this work%kill be complied 11 ith whether
specitied or mu. I'he pemtit does not give authority to v iolate the pro%inions of am other state or local lair regulation construction or the performance of
construction.
Pmpert) O%\hers Name (DS s r K/Crrz L L C Phone Number Z o S St-1 , 7 0
Electrical Company L (J L L C Office Phoneqeyq 9 o/ I O Eax
Co.Address: pl'r ." IR L d City lie StateF) Lip3�aag
License Holder(Print): Re%,.0 ¢o State Certification/Registration#
.Volaris eti Signature of License Holder `
hetay na State Of FIpfIQt Before me this day o
CnnsuneABeech 20 _
A
My Cemnswn GG 169579
�t
�;.. wr..1219 , Signature of'Notary Publi vNIAA V -00