2395 Mayport Rd ELPP19-0003 pole lights permit ELECTRICAL COMMERCIAL OR PERMIT NUMBER
AM- 6
MULTIFAMILY DETAILS PER BLDG ELPP19-0003
ISSUED: 2/12/2019
PLANS PERMIT EXPIRES: 8/11/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
ELECTRICAL COMMERCIAL OR 100 amps/208 volts/single-
2395 MAYPORT RD MULTIFAMILY DETAILS PER phase - install pole lights $10000.00
BLDG PLANS
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
1693980150 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
OWEN ELECTRIC CO INC 1775 LAKESIDE AVE ST.AUGUSTINE FL 32084
OWNER: ADDRESS: CITY: STATE: ZIP:
NAVAL CONTINUING CARE
RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233
FOUNDATION INC
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.
FEES 14MRIMM
DESCRIPTION ACCOUNT QUANTITY PAIDAMOUNT
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 C, $3.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date:2/12/2019 1 of 2
ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP19-0003
ISSUED: 2/12/2019
PLANS PERMIT EXPIRES: 8/11/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$62.00
Issued Date:2/12/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
'7-77 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Build ing-Dept@ coa b.us PERMIT#: &t-f-P1Q—CXC8
JOB ADDRESS: 2395 MAYPORT ROAD PROJECT VALUE $$ 10,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: M.–D AMPS Q U)SVOLTS PHASE
El NEW SERVICE: 0 Overhead OUnderground E]Underground up Pole
oResidential (Main)Service:
[30-100 amps 0101-150amps [1151-200amps []_amps #of Meters
E)Commercial (Main)Service:
E10-100 amps E3101-lSOamps 0151-200amps amps [:)CT Service_amps
Conductor Type Size
DMulti-Family(Main)Service:
a-100 amps E1101-150amps E1151-200amps El—amps #of Unit Meters
El TEMPORARY POLE: amps
El SERVICE UPGRADE: El amps EICT Service_amps
F1 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[:]100amps E]150amps E]200amps E1_amps EICT Service_amps
El ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: C-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amp
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
[]Swimming Pool DSign E]Smoke Detectors (Qty) ElTransformers KVA E]Motors HP
F—] FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
DReplace Burnt/Damaged Meter Can E3Safety Ins'pection aanelChange []OH to UG
D)ther:INSTALLING(5)POLE LIGHTS W1 UNDERGROUND BRANCH WIRING FOR SMALL PERKING LOT AND RELOCATING GATE CONTRq1fe�"AM:5 :UjOjj
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.
Owner Name: Naval Continuing Care Retirement Foundation Inc. Phpne Number: (904)246-9900
Electrical Company: OWEN ELECTRIC COMPANY,INC Office Phone (904)821�940 1 Fax:004)826-1568
Co.AddOG�41006tO��`(*DD :11?Wa 0QS99I,80VQ 'CN A��USTII� 5UM401030 MAVj\
ne
License Holder: MICKEY OWEN
5 t a�tei i t stration#: ECO000993
Id
Notarized Signature of License Holder 117Q-Q5� .7 1.4 '0111 &u oer
I
j St of
The foregoing instrument was acknowledged before me this �'OR95F Pa O�cd� ii in In State of Florida,
Sign�j'j�'qtf�yj4t�lii "w\51 A qs1 4
ev
Personally Known OR I Produced Identificati Decem .
Oype of Identification: g0kaN
Cash Register Receipt Receipt Number
City of Atlantic Beach R8129
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $250.00
ELPP19-0003 Address: 2395 MAYPORT RD APN: 169398 0150 $62.00
ELECTRICAL $58.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 $2.00
0
ELPP19-0004 Address: I FLEET LANDING BLVD 5700 APN: 169397 0200 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 1 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 1 0 1 $2.00
TEMP19-0008 Address: 1 FLEET LANDING BLVD 5700 APN: 169397 0200 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 1 0 1 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 1 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 1 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8129 $250.00
Date Paid:Tuesday, February 12, 2019
Paid By: OWEN ELECTRIC CO INC
Cashier: CT
Pay Method: CREDIT CARD 086490
Printed:Tuesday, February 12,2019 4:44 PIVI 1 of 1 or