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Permit #2022110031

Parcel Id: 16-11-31-1260-00000-00G0
Block: 00000
Subdivision: 2324 - ELECTRICAL FUELING STATION
Job Phone: (904) 824-9940
Location Address: 4 CONCORDE LN
Type: CE - COMMERCIAL ELECTRIC
Issue Date: 11/08/2022
NOC: RECORDED
Applicant name: MICKEY GERALD OWEN
Owner: CREEKSIDE AT GRAND HAVEN LLC
Address 50 N WATERVIEW DRIVE PALM COAST, FL 32137
Lot: 00G0
Contracted Stated Job Value: ¤29,550.00
Job Description: 40V/400A 1PH service for the 2 new EV chargers
Type: CN

Status	Location Address	State License Number	Phone	Fax
ACTIVE	1775 Lakeside Ave. St. Augustine, FL, FL 32084	EC0000993 (Exp: 08/31/2026)	(904) 824-9940	904-826-1568

Type	Request Date	Result	Inspector
ELECTRIC FINAL	04/25/2023	FINAL APPROVED	RMARTIN
Note: 4/19/2023 - PREVIOUS INSPECTION NOTES this was to get meter set from FPL, need power to do the final
ELECTRIC 1ST ROUGH	04/19/2023	APPROVED	RMARTIN
ELECTRIC FINAL	04/19/2023	PARTIALLY APPROVED	RMARTIN
Note: this was to get meter set from FPL, need power to do the final

Department	Status	Date In	Date Out
ELEC	COMPLETE	11/04/2022	11/04/2022
Note: Released By: JOSH MUNSON - (386)986-4736 - JMUNSON@PALMCOASTGOV.COM
ELEC	HOLD	11/01/2022	11/01/2022
Note: Held By: JOSH MUNSON - (386)986-4736 - JMUNSON@PALMCOASTGOV.COM 1. Submit electric plan and riser diagram