124 Sylvan Dr elec for ROW17-0005 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 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP18-0015
Description: 100 ampsh20-240 voltsisingle-phaSe-new seNice
Estimated Value: 3931
Issue Date: 5/14/2018
Expiration Date: 11/10/2018
PROPERTY ADDRESS:
Address: 124 SYLVAN DR
RE Number. 1706470010
PROPERTY OWNER:
Name: RILEY PENNY S LIFE ESTATE
Address: C/O W ALAN WINTER ESQ
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MASTEC NORTH AMERICA INC
Address: 6100 BROKEN SOUND PKWY, STE 6
BOCA RATON. FL 33487
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 my
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 BEAci3i
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fac:(904)247-5845 C-L C&-00 IS-
JOB ADDRESS: 110 SYLVAN Dit ATLANTIC BEACH.FL 32233 PERM[T# ROW17-0005
JEA INFORMAT]FON REQUIR ON ALL PERMITS -LOO AMPS -jjQaAL-VOLTS PHASE
VALUE OF WORK�
NEW SERVICE MrOverhead- Underground DUndergmund up Pole
DResidential(Main)Service
UP-100 steps 0101-150anips; 11 151-200amps 0--amps #of Meters
,W mercial(Main)Service
7100amps- 0101-150amps 13151-20D=ps El-__--amps ricrServios—amps
Conductor Type_ Sim
DMuld-Family(Maln)Swvloe
00-100 amps U101-150amps El 151-200=ps 0--amps, of Unit Meters
[]Temporary Pole [:_amps
SERVICE UPGRADE El----Amps I" CT Service aws
NEW FEMER(ADDMONS,ACCESSORY STRUCTURES,ETC)
L]100arnps 0150amps [1200araps []_amps LICT Service—anaps
ADDITIONS,REMODELS,REPAIRS,BURD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets(Syvitches: —0-30amps 31-100amps —101-200ampts
Appliances: —0-30arlps 31-100amps —101-200atups
A/C Circuits; _____9.60=ps 61-100amps
Heat Circuits: #circuits @_____.irw
Nutuber of Lighting Outlets,Including Fixtures:
OTHER ELECTRICAL PROJECTS
r]SwimmingPwl U Sip DSrnokeDetectors—Qty OTrautforeners EVA DMotors—hp,
FIRE ALARM SYSTEM (Requires 3 sets of plinns)
Qty—volest—ps— VALUE OF WORKS
REPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meta Can 0 Safety Inspection oPmel Change 1]OHtoUG
DOthw.
Paroct b000nces wid if wwk does not coraccesec witbin a six mosaic period or work is saWcaded or abandoccal for six naeths. I hereby certify'be I haw
read this Wficoue and)mow the asec to be trac sad cornet. All toosamons,of 1�and ordinucas govesiong this work will Im cosplied with wheffies
vecifiedorcs, The pereit does not give act3writy to violatc the provisions of my ceser state or local law regulatim construction or diepedbursesse of
coco'coolice.
Property Ovvners Natne JEA Phone N=bcr
Eiecuficai counpany %Ltlt�sns LLr- ffice Phone_F�_
Co.Address: PM G cen�cscd 6W S+e 470 City Like Msoe state 11- zip gZA6
Ll"nateffolder(Print): lrje� C40nv=. .1 State Certificatic n/Registration#—
NonsMedSWna#wqlrLims&seHoWr. K=Mzjt::)
je�kWNEM�Rsm Swornandsubscribed efbnmcpL"�dayof 20L/,W
Signature of Notary Puffic
Cash Register Receipt Receipt Number
City of Atlantic Beach R5059
PAID
DESCRIPTION ACCOUNT CITY
Permit-TRAK $109.00
ELPP18-0015 Address: 124 SYLVAN DR APN: 170647 0010 $109.00
ELECTRICAL $105m
ELECTRICAL BASE FEE 45 ON 222 0 $55.00
ELEC NEW COMMERCIAL 5160M31H"ao 160 $50.01)
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE L55-0000-208-06DO $2.00
STATE DCA SURCHARGE "500002080700 $200
TOTAL FEES PAID BY RECEIPT: RS059 $109.00
CM OF ATLAW IC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05�14�2018 15:57:35
CREDIT CARD
VISA SALE
CARD 9 WCO00=8054
INVOICE 0009
0009
000797
"oval Code 057435
�ty VIEW mmi
MDde: DOI
la kwt: $0.00
(Ad CA: M
3ALE AMOUNT $1m
CUSTOMER COPY
Date Paid: Monday, May 14, 2018
Paid By: MASTEC NORTH AMERICA INC
Cashier:CB
Pay Method; CREDIT CARD 057435
Printed:Monday,May 14,2018 3:58 PM I Of 1