1645 Maritime Oak Dr ERES19-0325 Wiring of Generator { vel ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
4 CITY OF ATLANTIC BEACH ERES19-0325
VIIPF 800 SEMINOLE ROAD ISSUED: 11/1/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 4/29/2020
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:
1645 MARITIME OAK DR ELECTRICAL RESIDENTIAL WIRING OF GENERATOR $1000.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1995
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
VOLTZ ELECTRIC 7830 COLEE COVE RD SAINT AUGUSTINE FL 32092
COMPANY, LLC
OWNER: ADDRESS: CITY: STATE: ZIP:
CDL AB LLC 355 11TH ST ATLANTIC BEACH FL 32233-5531
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 1 $0.60
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: $59.60
Issued Date: 11/1/2019 1 of 2
rt.:L'r-, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
's, ERES19-0325
OIEN.
CITY OF ATLANTIC BEACH
ISSUED: 11/1/2019
Jr; ,� 800 SEMINOLE ROAD EXPIRES: 4/29/2020
ATLANTIC BEACH. FL 32233
Issued Date: 11/1/2019 2 of 2
J0) Cash Register Receipt Receipt Number
pr City of Atlantic Beach R10938
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $59.60
ERES19-0325 Address: 1645 MARITIME OAK DR APN: 169505 1995 $59.60
ELECTRICAL $55.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 1 $0.60
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R10938 $59.60
Date Paid: Friday, November 01, 2019
Paid By: VOLTZ ELECTRIC COMPANY, LLC
Cashier: CT
Pay Method: CREDIT CARD 04359G
%
Printed: Friday, November 01,2019 10:04 AM 1 of 1 P
MOO
Electrical Permit Application **ALL INFORMATION
~i1��`1� HIGHLIGHTED IN
J ' Ci
` City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233i< Ec __v 3 z..._.)
"'r Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1645 Maritime Oak Drive Atlantic Beach, FL 2233 PROJECT VALUE $$ 1,000.00
IEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
fl NEW SERVICE: 0 Overhead ❑Underground ['Underground up Pole
CResidential(Main)Service:
❑0-100 amps 1:3101-150amps 0151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps 0101-150amps D151-200amps 0 amps #of Unit Meters
n TEMPORARY POLE: amps
SERVICE UPGRADE: 0 amps OCT Service amps
IT NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 171200amps 0 amps OCT Service amps
D ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
ElSwimming Pool['Sign FISmoke Detectors (Qty) ❑Transformers KVA OMotors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
✓❑Jther:wiring of new generator Updated 10/17/18
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: Timothy Voelz Phone Number: (904)575-0939
Electrical Company: Voltz Electric Company, LLC Office Phone:(9°4)5750939 Fax:
Co.Address: 7830 Colee Cove Rd. City: St.Augustine State: FL Zip: 32092
License Holder: Timothy VOeIZ State Certification/Registration#: EC138008060
Notarized Signature of License Holder .�
II 41
The fore:oin, in tr -n ,- - • ledged before me this�l day of f) �' 1.11, . the State of Florida, County of DUV& .
FAWN DUTTON g -r IF Q I A
` -- %. Public-State of cif:). Signature of NotaryPublic X11] \ �(
;'(,,, Notary
� Commission t GG 014471
i e My Comm.Expiresrreo20.2021personally Known OR[ ] Produced Identification
'•.FcrFs • Bonded 5roughNatio,a:NotaryAua pe of Identification: