1 Fleet Landing Blvd Leeward Manor ELPP21-0058 Car Chargers in Parking Lot ELECTRICAL COMMERCIAL OR PERMIT NUMBER
S
uELPP21-0058
�� v, MULTIFAMILY DETAILS PER BLDG ISSUED: 9/13/2021
PLANS PERMIT EXPIRES: 3/12/2022
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 Add Post, (2)40 Amp
1 FLEET LANDING BLVD MULTIFAMILY DETAILS PER BLDC circuits, car chargers in $9000.00
PLANS parking lot
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
UNITED ELECTRIC
COMPANY OF 5716 SAINT AUGUSTINE ROAD JACKSONVILLE FL 32207
JACKSONVILLE
OWNER: ADDRESS: CITY: STATE: ZIP:
NAVAL CONTINUING CARE
RETIREMENT FOUNDATION 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
INC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT If\
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
Issued Date:9/13/2021 1 of 2
j".,9 ELECTRICAL COMMERCIAL OR PERMIT NUMBER
C r r 5,
MULTIFAMILY DETAILS PER BLDG ELPP21-0058
ISSUED: 9/13/2021
', F �� PLANS PERMIT EXPIRES: 3/12/2022
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:9/13/2021 2 of 2
ALL
RMATION
Electrical Permit Application *HIGHLIGHTEDIN
pp HIGHLIGHTED IN
. $ a- Cityof Atlantic Beach Building Department GRAY IS REQUIRED.
N,.
' 800 Seminole Rd, Atlantic Beach, FL 32233
; 0. . Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: I El te_f Lo„chni 6 1 v1 PROJECT VALUE $ C1, 0 0 0 ' c9 e'
�. QCWGr-eL 0 5000
JEA INFORMATION REQUIRED ON ALL PERMITS: LI 0 0 AMPS a 9()VOLTS ( PHASE
1 NEW SERVICE: El Overhead ❑Underground DUnderground up Pole
CResidential (Main)Service:
00-100 amps 13101-150amps 0151-200amps 0 amps #of Meters
OCommercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
El SERVICE UPGRADE: ❑ amps [DCT Service amps
E NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps ❑150amps ❑200amps 0 amps ❑CT Service amps
❑ 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:
n OTHER ELECTRICAL PROJECTS:
DSwimming Pool❑Sign amoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
(PqREPAIRS/MISCELLANEOUS: e., r ki�nj /0/--
❑ReplacenBur t/Da ageId Meter Can ❑Safety Inspection
1 DPanel Change/� DOH to UG ,
EPther: R ad- l Us ? (Z- ) 0 /�/hp Ci(-CA-11 1-S 7'/', C-C,r- CJ\ rp{ -j I n 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. , i p I r" ,,'+7 0 1 4 ' — (/
Owner Name: V VC, 1 Co it 0 i ln) C or-L- t+e re—mc,T ro)^ hone Number: g 3 / - 9 2 3
Ik 1
Electrical Company: ,`f2 f C) t C. r, Lb 0 .(
S,,,e Office Phone: —7 3 ) y G/ Fax:
Co.Address: 5 1 1 Lo S / :cq u -4 , ^C-- J�d City: ���G k. State: rL Zip:3 2zo 7
License Holder: Do <,J t V\-) 10J3 ' State Certification/Registration#: E C i 30 0 cS0 E3
X �-/
Notarized Signature of License Holder L 1,,,,_._o
The foregoing instrument was acknowledged befdre me this I34day of 5 f ' , 20J in the State of Florida, County of 41) -11/""/
4'P'P°'� BRENDA K. GRIFFIN Signatur of Notary Public Zj1 L )< 0 -4/._,------,
'�i� MY COMMISSION#GG193986
\„,, EXPIRES April 23,2022 [ ersonally Known OR [ ] Produced Identification
Type of Identification:
NOTICE OF COMMENCEMENT
State of Florida Tax Folio No.
County of Duval
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713
of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:05-2S-29E 70.418 PT FRAC SEC 5-2S-29E RECD 08-2S-29E PT GOVT
LOTS 1,7,8 RECD OR 6634-1715,PT GOVT LOT 2 RECD O/RS 6688-675,6708-965
Address of property being improved: 1 FLEET LANDING BLVD
General description of improvements: ADD POST AND 2 CIRCUITS FOR CAR CHARGERS IN PARKING LOT OF
LEEWARD MANOR BUILDING _
Owner: Naval Continuing Care Retirement Foundation Inc Address: 1 Fleet Landing Blvd,Atlantic Beach,FL 32233-4599
Owner's interest in site of the improvement: 100
Fee Simple Titleholder(if other than owner): NA
Name:
Contractor: United Electric Co.of Jacksonville)
Address: 5716 St.Augustine Rd,Jacksonville,FL 32207
Telephone No.: (904)731-4210
Fax No: (904)731-5311
Surety(if any) N/A
Address: Amount of Bond$
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may
be served:Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: Date: 8)1,31 21
Before me this day o Auu,u.si in the County of Duval,State
Of Florida,hasappe• ed Jb 'tun A511..+
Notary Public at Large,State.f Florida County of Duval.
My commission expires: • • . ()-
Personally
-
Personally Known: f ,j/Qt v', _110r041,51.41 _ or
Produced Identification:
Doc#2021232469,OR BK 19897 Page 1442,
Number Pages:1 .01 kip, Notary Public State of Florida
Recorded 09/07/2021 09:32 AM, I `r' Megan L Clemensen
JODY PHILLIPS CLERK CIRCUIT COURT DUVAL ' My Commission HH 011366
COUNTY or a Expires 06!1612024
RECORDING $10.00