1 Fleet Landing Blvd elec permit for new feeder & outlets ` CITY OF ATLANTIC BEACH
�j 800 SEMINOLE ROAD
;yr
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: ELPP18-0018
Description: 400 amps/208 volts/third-phase-new feeder&outlets
Estimated Value: 31973
Issue Date: 5/23/2018
Expiration Date: 11/19/2018
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BV
RE Number: 169397 0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE RETIREMENT FOUNDATION INC
Address: 1 FLEET LANDING BLVD
ATLANTIC BEACH, FL 32233-4599
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: D.L.WILLIAMS ELECTRIC CO, INC
Address: 11630 COLUMBIA PARK DR QA DAVID L. WILLIAMS
JACKSONVILLE, FL 32258
Phone:
PERMrr 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH L
800 Seminole Rd,Atlantic Beach, FL 32233 0
Ph(904)247-5826 Fax (904) 247-5845fl
JOB ADDRESS: adlk Ionia , L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS '' W AMPS VOLTS PHASE
VAL UE OF WORK$ 3
NEW SERVICE ❑ Overhead ❑ Underground ❑Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps l 151-200amps amps ['CT Service amps
Conductor Type Size--
Multi-Family
ize_Multi-Family(Main)Service
0-100 amps101-150amps 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 XL4406 amps CT Service amps
ADDITIONS,REMODEL REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. C2'J
Outlets/Switches:REMODEL
31-100amps 101-200amps CO;
Appliances: 0-30amps 31-100amps 101-200amps �Q/ %�w
A/C Circuits: 0-60amps 61-100amps ( n
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty ;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 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 of
construction.
Property Owners Name OAICP&RPone Number
Electrical Company 1 " Office Phone
Co. Address: City ( State2 Zip?Q�
License Holder(Print): r VV Ue Certification/Registration#�-00()0fb
Notarized Signature of License Holder
,:•��yir'n''••.; FAWN SU:GG074476
Sworn and subscribed beforee this y of 20�
r, Notary Public-Slorida
Commission 0
My Comm.Expire ,2021 Signature of Notary Public
e Assn.
` ReceiptCash Register Receipt
y
City
r
of Atlantic Beach R5159
'p Uil1�f'
DESCRIPTION
• CITY PAID
PermitTRAK $195.26
ELPP18-0018 Address: 1 FLEET LANDING BV APN: 169397 0200 $195.26
ELECTRICAL $190.40
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $5.40
ELEC SERVICE CHANGE 455-0000-322-1000 400 $130.00
STATE SURCHARGES $4.86
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.86
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R5159 $195.26
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
05123,,2018 15;01;33
CREDIT CARD
VISA SALE
Card XXXXXXXXXW7439
SEQ#; 7
Batch , 612
INVOICE 7
Approval Code; 02002A
Entry Method; Manual
Mode; Online
Card Code: M
SALE AMOUNT $195.26
CUSTOMER COPY
Date Paid: Wednesday, May 23, 2018
Paid By: D.L.WILLIAMS ELECTRIC CO, INC
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Wednesday, May 23,2018 3:09 PM 1 of 1
rnucr