5507 RIGEL CT ERES22-0226 ,,t,. Electrical Permit Application **ALL INFORMATION
HIGHLIGHTED IN
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fl City of Atlantic Beach Building Department GRAY IS REQUIRED.
w - 800 Seminole Rd, Atlantic Beach, FL 32233
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' Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 55 7 Ri 4 EL G7'. PROJECT VALUE $ 2200 —
JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 2-4 o VOLTS ( PHASE
E NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
C1Residential(Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps. 0101-150amps 0151-200amps ❑ amps #of Unit Meters
E TEMPORARY POLE: amps •
❑SERVICE UPGRADE: 0 amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps 0 amps p OCT Service amps
L ADDITIONSREMODEL REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 7-6, 0-30amps 31-100amps 101-200amps
Appliances: I 0-30amps ( 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: I Z-
OTHER ELECTRICAL PROJEC S:
❑Swimming Pool DSign amoke Detectors 3 (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
E REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change DOH to UG
[Other: updated l0/17/18
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
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construction. 1
Owner Name: Z� N C.
JJ 0 I , — I`V CC. R.r Phone Number: L - 9 900
Electrical Company: Barkoskie Electric Service Office Phone: (904)246-473Fax:(904)249-8017
Co.Address: 953 Sheffer Avenue City: Jacksonville Beach State: FL Zip: 32250
License Holder: James Hughes State Certification/Registration#: EC13002387
Notarized Signature of License Holder
The foregoing instrument was acknoWledg d before me this day of �/sf,jE,9T• ,20 Zen the State of Florida,County of .
: �° MARGARET A.MAY Si nature of Nota Public ''Z4.
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*: 0, :*. MY COMMISSION#GG 979259
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;,, EXPIRES:July 24,2024 [ ] Personally Known OR[ ] Produced I tification
`.°_"°` BondedThruNotaryPublicUnderwriters Type of Identification:
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