800 Mayport ELPP18-0031 ELECTRICAL PERMIT APPLICATION C om/K
CITY OF ATLANTIC BEACH
goo Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)2,47-5845
JOB ADDRESS: Soo AAa�pDytk; FZz�
JEA INFORMATION REQUIRED ON ALL PERMITS J00 AMPS .10 k VOLTS PHASE
VALUE OF WOPK hflo "of"'
NEW SERVICE El overhead Underground [3 Underground up Pole
EiReddentlal(Main)Service
00-100 strips 0101-150amps 0151-200amps []_____amps #of Met"s
oComenerrial(Main)Service
00-100 amps 0101-150amps D 151-200amps 0_amps EICT Service—amps
Conductor Type size
[IMuld-Fandly(Main)Service
E10-100 amps 0101-150amps 0151-200anips II—amps #of Unit Meters
[]Temporary Pole 02113115
SERVICE UPGRADE El—amps o CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100amps 0150amps D200amps D_anvs oCrScrvice_MP/V/'Pf
ADDITIONS,REMODELS,REPAIRS,BUILDIOUTS,ACCESSORY STRUCTURES'ETC'
Ouflets/S�tches: amps 31-100amps 101-200amps
Appliances: --AV;'030amps —31-100amps —101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits(g__,j!jkar
Number of Lighting outlets,Including Fixtures! /6
OTHER ELECTRICAL PROJECTS
[]Swin=ngpwl [] Sign USnmkcDetcct0rs_Qty OTmusfOru�—KVA C]Motors—hii
FIRE ALARM SYSTEM (Requires 3 sea of pluns)
Qty � volts/anvs_____A11,4 VALUE OF WORK S__=_
REPAELSMSCELLANEOUS
EiReplact:Burnt/Damaged Meta Can oSafetylinspection Upand Change CIOH to UO
00ther: r',A11x17_Re,~*770-1 Xik- -/'0/' IeCW?'Ay�f Ae"
punni bo�void if work does not cooRMODPO withal =mooth penod w work is Suspended or abmdmd for si.months. I hueby onify that I have
read ffis applicatim and know the sune to be One and co� All pw�isioos of 1.ws and onlinsam 90=ning this wwk will be complied with wherha
spedfied or not Thepannit does no,give mthority W violne the isovisims of my other nute or loosi law resolution consnmetion or the Pcr§0ffosft0C of
Propaty Owners Name Pan Am lnqes�i In C PhemeNumber
C � Office Phone I�S�Fnx 2(og'2625
Eectrieal Company
Co. Address: 157(D3 city 132)K StatcF_�_ zipc:52257
ieom�: P. '_��on State Cordfication/Rgistration.F615005*27
License Holder(Print): C 17/
Notanzed Signature ofLicease Holder 54V_i3O&'W'
V
WyoC:::::r#GW22i%7 sworn and in scribed davyof
:j. SM&MyZ3,2W Signature of Notary Publ
ELECTRICAL COMMERCIAL OR PERMITNUMBER
MULTIFAMILY DETAILS PER BLDG ELPP18-0031
ISSUED: 12/12/2018
PLANS PERMIT EXPIRES:6/10/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL YefiI CINFIRM TI:THE CYRRE74T ITH EXIT111M (2117) 4,F THE FLI:RIIA VUILIIMG
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
o the requirements of this permit,there may be additional restrictions applicable to this property
the public records of this county,and there may be additional permits required from other
s such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR Outlets/Switches for Tenant
800 MAYPORT RD MULTIFAMILY DETAILS PER Renovation $10000.00
BLDG PLANS
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1707550000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
RADIANT ELECTRIC, INC. P 0 BOX 600830 JACKSONVILLE FL 32260
OWNER: ADDRESS: CITY: STATE: ZIP:
PAN AM INVESTMENTS INC 7880 GATE PKWY JACKSONVILLE FL 32256
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR COND11FICNING CIRCUITS 455 FOOD 322 IWO 55.00
...E C P, F F, GOOD 322 1000 0 S2.00
LEC APPLIANCES FIXED OR STATIONERY
ELEC HEAT Ass 0000 322 1000 0 $2,00
FLED LIGHTING OUTLETS,INCLUDING FIXTURES 455 0000,322-1000 16 $9'so
ELEC SWITCH AND RECEPTACLE OUTLETS 455 W00-322-1000 0 $12,00
Issued Date:12/12/2018 1 of 2
ELECTRICAL COMMERCIAL OR PERMIT NUMBFIR
MULTIFAMILY DETAILS PER BLDG ELPP18-0031
ISSUED: 12/12/2018
PLANS PERMIT EXPIRES:6/10/2019
ELEMIM�FEE i i i� � 555.00
STATE DRPR SURCHMGE 2.W
STATEXASURCHARGE
89 60
TOTAL:$
issued Date:12/12/2018 2 of 2
Cash Register Receipt Receipt Number
w City of Atlantic Beach R7605
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $89.60
ELPP18-0031 Address: 800 MAYPORT RD APN: 170755 0000 $89.60
ELECTRICAL $85.60
ELECTRICAL BASE FEE 455-00DD322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-000G-322-1000 16 $9.0
FIXTURES
ELEC SWITCH AND RECEIPTACUE OUTLETS 455-0000-322-10DO 0 $12.00
ELEC MR CONDMONI NG CIRCUITS 455�322-10)0 0 $5.00
ELEC APPILIANCES FIXED OR STATIONERY 455�322-1000 0 $200
ELEC HEAT 45S 0000-322-1000 0 $2.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-072 2 $2.00
STATE DCA SURCHARGE 455-0000-209-M020 0 $2.00
TOTAL FEES PAID BY RECEIPT: R7605 $89.60
Date Paid:Wednesday, December 12,2018
Paid By: RADIANT ELECTRIC, INC.
Cashier: CB
Pay Method:CREDIT CARD 41983j
Primed:Wednesday,December 12,2018 3:33 PM 1 Of 1