Permit 110 Poinsettia StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000783 Date 6/17/10
Property Address 110 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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MILLS, JOHN
110 POINSETTIA STREET
ATLANTIC BEACH FL 32233
Contractor
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BARKOSKIE ELECTRICAL SERVICE,
INC.
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 FLORIDA
BUILDING CODES.
ELECTRICAL PERNIIT APPLICATION
CITY OF ATLANTIC $EACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
Jos ADDRESS:
NEW SERVICEOverhead
Residential (Main). Service
^0-100 amps ^ 101-150ainps
^ Commercial (Main) Service
^0-100 amps ^ 101-150amps
Conductor Type
OMulti-Family (Main) Service
^0-100 amps ^ 101-150amps
^Temporary Pole ^ amps
SERVICE UPGRADE ^
PERMIT #
^ Underground ^ Underground up Pole
151-200amps ^_ amps # of Meters
^ 151-200amps ^ amps ^CT Service _
Size
^ 151-200amps ^ amps # of Unit Meters
amps ^ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
^ 100 amps ^ I SOamps ^200amps ^ amps ^ CT Service amps
ADDITIONS, REMODELS, REPAIltS, EUILD-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
amps
^Sv~rimming Pool ^ Sign ^Smoke Detectors Qty ^Transformers KVA ^Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORD $
REPAIl2S/1VIISCELLANEOUS ~
^Replace Burnt/D age Meter Can ~f5afety Inspection ^Panel Change ^OH to UG
^ Other; ~,~~~o
Permit becomes void if work does fill commence within a six m6nEh 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.
Property Owners Name Phone Number
Electrical Company Office Phone 2 ~6~~Fax
Co. Address: ~d ~ ~ K .~ 3 Z~ City QG~.. State ~ Zip 3 Z-Z-~
Liceaase ~Iol€Ier (PF'irEt): State Certification/Registration # L'Z %3~L ~'~
~afic>rr;:~cc~ S°i~r~citur°e' of ~cerzs~ L~'"a~d'ez
~'°' a and subscribed before nTe this 1~ day of 20 /(~)
~,•sraYP~a ESSIE MERRITT
;?°. .`~=, Notary Public -State of FI da ~
' tore of Notary Public
' • . •§ My Comm. Expires Feb 9, 2$}
'N~~,~, `~P;' Commission # iJD 831667
BonCed Through National Notary Assn.