1830 MAYPORT RD - ELPP19-0042 - DEMO 4 MAST rr ELECTRICAL COMMERCIAL OR PERMIT NUMBER
. �> MULTIFAMILY DETAILS PER BLDG ELPP19-0042
ISSUED: 10/10/2019
PLANS PERMIT EXPIRES:4/7/2020
.` MUST CALL INSPECTION PHONE LINE (904) 247=5814 BY'4°PM FOR'NEXT DAY INSPECTION. a
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 ADDRESSf° . PERMIT'TYPE: I DESCRIPTION., VALUE OF WORK::
ELECTRICAL COMMERCIAL OR DEMO FOUR MAST'S ( 1830,
18,30 MAYPORT RD MULTIFAMILY DETAILS PER 1832, 1834 & 1831) $350.00
BLDG PLANS
•
TYPE OF REAL ESTATE BUILDING USE'
ZONING: SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172075 0200 SECTION LAND
COMPANY: ADDRESS: CITY STATE: °. ZIP:
VALDAN ELECTRIC CO. 338 19TH ST ATLANTIC BEACH FL 32233
OWNER:. ; ADDRESS: . CITY: STATE: . ZIP: . .
OSSI KLOTZ LLC PO BOX 330833 ATLANTIC BEACH FL 32233
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
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 10/10/2019 1 of 2
Electrical Permit Application **ALL INFORMATION
rt�°� � . pp HIGHLIGHTED IN
City of Atlantic Beach Building Department i GRAY IS REQUIRED. I
' - - 800 Seminole Rd, Atlantic Beach, FL 32233 . L PPI Qj OD 4 Z
11. PMa t . 47-5826 Email: Building-Dept@coab.us PERMIT#:
0 0 j !� Z /1 J % /F5( -Y PROJECT VALUE $`3f .... ') --
JOB ADDRE G J 11
'I'_ e .1 o c•-•-c- , 7 -
JEA INFORMA •N REQUIRED ON ALL PERMITS:; _ AMPS` -__. _'VOLTS'r PHASE
NEW SERVICE: ❑ Overhead oUnderground ❑Underground up Pole
❑Residential (Main)Service: .
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps o\101-150amps o151-200amps .. ❑ amps ECT Service amps
Conductor Type . Size . .
•
oMulti-Family(Main)Service:
❑0-100 amps o101-150amps o151-200amps ❑ amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS; REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC: //1/:(`" .
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100a mps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
oSwimming Pool ❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps /t
— (NiVcZ-S4- o r\ 1 8 3 0
REPAIRS/MISCELLANEOUS: C de/l/t-
oReplace
Burnt/Damaged Meter Can ['Safety Inspec ion ❑Panel Change EON to UG Updated l0/17/18
❑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 construction901{
tior the performanc@_of.
construction. 44.r /'O�c� ��1 -�S K`o+� Phone Number: ! ( -3 `�567726,
Owner Name: rL t�
f
/ ,/ L'G / � Office Phone:' Fax:
Electrical Company: Vg /?1 i
y(� - . 3 z
Co.Address: 7i7 lq 5T City:i �� State:L'{ Zip:'.
License Holder:, 1) State Certification/Registration#: /3 ivy 742
Notarized Signature of License Holder I v4/ 6 9�,1""" -
The foreg_piag_�instrument� _ - ledged before me this day of�� ` Q the St a of Florid , County of
F� Y.=y;,;., TONI GINDLESPERGER r� /
q] ' ;_ MY COMMISSION„FF 92;951 Signature of Notary Public v ' ( - — !
`'1'4.:j-,`-i.,•;:'11EXPIRES:October E,2019
li ; f 3ona dThUi I5Public Urdenri?yrs ra ersonally Known OR[ ] Produced Identification
Type of Identification: