1820 MAYPORT RD ELPP21-0060 SAFETY ":.____% ELECTRICAL COMMERCIAL OR PERMIT NUMBER
tilMULTIFAMILY DETAILS PER BLDGELPP21-0060
_, ISSUED: 9/16/2021
rtiv PLANS PERMIT EXPIRES: 3/15/2022
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 COMMERCIAL ELECTRIC
1820 MAYPORT RD MULTIFAMILY DETAILS PER BLDG $2500.00
PLANS SAFETY INSPECTION
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: a NUMBER: GROUP:
172075 0100 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 II`
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:9/16/2021 1 of 2
'''�'r%
ri'- % ELECTRICAL COMMERCIAL OR PERMIT NUMBER
MULTIFAMILY DETAILS PER BLDG ELPP21-0060
ISSUED: 9/16/2021
''''' _.J-
--40j1194 PLANS PERMIT EXPIRES: 3/15/2022
Issued Date:9/16/2021 2 of 2
: ftf, Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
r i> City of Atlantic Beach Building Department GRAY IS REQUIRED.
'far 800 Seminole Rd, Atlantic Beach, FL 32233 CLP PZ i _CC Q
—on!P
Phone: (904)1I1'2247-5826 Email: Building-Dept@coab.usuiilPERMIT#:
JOB ADDRESS: /4/919 /' ` 0
04r— 0 PROJECT VALUE $ 2t7e .
( g2 C)
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPSZ VOLTS / PHASE
❑NEW SERVICE: El Overhead ❑Underground ['Underground up Pole
atesidential(Main)Service:
00-100 amps 0101-150amps 1:1151-200amps ❑ amps #of Meters
['Commercial(Main)Service:
❑O-100 amps 0101-150amps 0151-200amps 0 amps 'OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑D-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
O 100 amps 0150amps 0200amps ❑ 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:
El OTHER ELECTRICAL PROJECTS:
❑Swimming Pool['Sign ['Smoke Detectors (Qty) ❑Transformers KVA ['Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS: kafety
❑Replace Burnt/Damaged Meter Can Inspection DPanel Change DOH to UG
❑Jther: 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: di(zat'C k___ t (/) ,L am--- Phone Number:
\/
Electrical Company: �t c/if A) Elk( /AiC Office Phone: ,r��� Fax:Co.Address: 330 SiCity: ` 4 cL j3Q�n'�i State: r zip: 32-2-1
License Holder: Ali rc . at., iy-di__f 4// ��Statte Certification/Registration#: i'G /'J '2C- r
Notarized Signature of License Holder �`""� �,�'"?-
The foregoing instrument was acknowledged before me this ( o day o „• ,L It in the Sta ,County of
Signature of Notary Public _a _
41‘":1. ;:".0,,",.TTONI GINDLESPERGER
,., ;,: MY COMMISSION#GG 353178 personally Known OR[ ] Produced Identification
T ) . o. . EXPIRES:Cctc;er 6,2023 Type of Identification:
''f. .°a'' Bonded Tbru Notary Public Underwriters