800 Mayport Rd ELPP21-0044 SafetyOWNER:ADDRESS:CITY:STATE:ZIP:
PAN AM INVESTMENTS INC 7880 GATE PKWY JACKSONVILLE FL 32256
COMPANY:ADDRESS:CITY:STATE:ZIP:
CLG ELECTRICAL
CONTRACTORS LLC 453 GRAMPIAN HIGHLANDS DR JACKSONVILLE FL 32259
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170755 0000 ATLANTIC BEACH SEC H
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
800 MAYPORT RD
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS
Safety Inspection $480.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 7/23/2021
PERMIT NUMBER
ELPP21-0044
ISSUED: 7/23/2021
EXPIRES: 1/19/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
TOTAL: $109.00
2 of 2Issued Date: 7/23/2021
PERMIT NUMBER
ELPP21-0044
ISSUED: 7/23/2021
EXPIRES: 1/19/2022
ELECTRICAL COMMERCIAL OR
MULTIFAMILY DETAILS PER BLDG
PLANS PERMIT
CITY OF ATLANTIC BEACH
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $109.00
ELPP21-0044 Address: 800 MAYPORT RD APN: 170755 0000 $109.00
ELECTRICAL $105.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
SAFETY INSPECTION 455-0000-322-1000 0 $50.00
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: R16419 $109.00
Printed: Friday, July 23, 2021 1:17 PM
Date Paid: Friday, July 23, 2021
Paid By: CLG ELECTRICAL CONTRACTORS LLC
Pay Method: CREDIT CARD 486105009
1 of 1
Cashier: CG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R16419
Electrical Permit Application ALL INFORMATION
HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
j' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 8CO Na Woo kD 50/1 1-5 PROJECT VALUE $ !-/'3'0
JEA INFORMATION REQUIRED ON ALL PERMITS: ;2,019 AMPS 2-kU VOLTS 1 PHASE
NEW SERVICE: Overhead Underground ['Underground up Pole
Ei esidential (Main)Service:
00-100 amps 0101-150amps 1:1151-200amps amps of Meters
Commercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
Multi-Family(Main)Service:
0-100 amps 0101-150amps 0151-200amps 0 amps of Unit Meters
El TEMPORARY POLE: amps
0 SERVICE UPGRADE: 0 amps OCT Service amps
n NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps CT Service amps
LI 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: yrf
OTHER ELECTRICAL PROJECTS:
Swimming Pool Sign Smoke Detectors Qty) ['Transformers KVA ['Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
F7 REPAIRS/MISCELLANEOUS:
Replace Burnt/Damaged Meter Can i2Cfety Inspection ['Panel Change DOH to UG
Dither: 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: R P ec hno r-.l e5 Seel l0 Csrcarri Phone Number: 75 r7 ' 2.32 520
Electrical Company: 67_ eLe.d-r-I'caJ C6r-'kaebY'S LLCOffice Phone: c/011- 6'2-2.
1`
7/ 79 Fax:
Co.Address: 4153 C4raet(ian f}rJ - /cthc13 Or City: 5' 70 I n 5 State: TL Zip: 3L2 S-7
License Holder: C ct IoS LO .2 State Certification/Registration#: FR /3 o/ 4 3 '
Notarized Signature of License Holder ,W
7Theforegoinginstrumentwasacknowledgedbeforemethis-2'2- day of
6J 20-21', in the State f Florida,County of DU V f4 L-.
CHRISTIAN GILES Signature of Notary Public iii ?/Tf'cam. /
MY COMMISSION#HH 117153
Personally Known OR['roduced Identification
r.8 EXPIR(iS:April 13,2025''''
f.:;?,f;?!:''' Bonded Thru Notary Public Underwriters Type of Identification:FL 0("_