Permit 106 Poinsettia StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000782 Date 6/17/10
Property Address 106 POINSETTIA ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
safety inspection
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Owner
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RUSSELL
106 POINSETTIA
ATLANTIC BEACH
Contractor
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BARKOSKIE ELECTRICAL SERVICE,
STREET INC.
FL 32233 48 S. PENMAN ROAD
JAX BEACH FL 32250
(904) 246-4731
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Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 12/14/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total
Plan Check Total
Grand Total
90.00 90.00 .00 .00
.00 .00 .00 .00
90.00 90.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORH)A
BUILDING CODES.
ELECTRICAL PERNIIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JoB ADDRESS:
PERNIIT #
NEW SERVICEOverhead [] Underground ^ Underground up Pole
^Residential (Main). Service
^0-100 amps ^ 101-150a1nps 151-200amps ^ amps # of Meters
^ Commercial (Main) Service
^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps ^CT Service amps
Conductor Type Size
^Multi-Family (Main) Service
^0-100 amps ^ 101-150amps ^ 151-200amps ^ amps # of Unit Meters
^ Temporary Pole ^ amps
SERVICE UPGRADE ^ amps ^ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
^ 100 amps ^ 150amps ^200amps ^ 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:
OTHER ELECTRICAL PROJECTS
^ Swimming Pool ^ Sign ^ Smoke Detectors ^Qty ^ Transformers KVA ^ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps YAL UE OF WORE $
REPAIRS/NIISCELLANEOUS
^Replace Burnt/D aged Meter Can ~afety Inspection ^Panel Change ^OH to UG
^ Other: ~ , '--~iQ,e--t'~,e9~-~--~
Permit becomes void if work does not commencewithin a six mon~eriod 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 Iaws 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,
Property Owners Name ~ Phone Number
Electrical Company ~~- Office Phone 7 ~ ~ 7~ Fax
Co. Address: ~~ ~~ ~.3?...~"~ City. -- ~~ State ~ Zip 3Z2J'Z'
License Holder (Print): ,,g , ~ State Certification/Registration # ('j~. /„~4d°~,~~~
I~e~i~ar~zec~ Sigrrcitu~=~ ~~'~~ee:rs~° ~I~~d'er° _/' ..~
•,`,,,,~~. PVe ,,, ESSIE MERRITT ~or~~. a.nd subscribed before r~~e t1~i ~ c1a cif 20 /L~~
•Fe `~; Notary Public -State of Florid c
• : • My Comm. Expires Feb 9, 201 Zature of Notary Fubiic
' j ~' Commission # DD 831667
°~'~~~ t~`` Bonded TArough Natronat Notary Assn.