Permits 86 Ocean Blvd el
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00000904 Date 7/20/10
Property Address . . . . . . 86 OCEAN BLVD
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 Contractor
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RUSSELL BARKOSKIE ELECTRICAL SERVICE,
INC.
ATLANTIC BEACH 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 . . 1/16/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 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 PERMT APPLICATION
Crry OF ATLANTic BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-�826 Fax (904) 247-5845
JOB ADDRFSS: r_')Cw� (Z,( '/�y PERAUT
NEW SERVICE F�Overhead F� Underground 0 Underground up Pole
OResidential(Main),Service
110-100 amps 0 10 1-I 50araps 51-200amps 0 amps of Meters
X1
0 Commercial(Main) Service
00-100 amps 0 10 1-I 50amps 0 151-200amps 0 amps OCT Service amps
Conductor Type___ Size
OMulti-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 __�amps 4 of Unit Meters
OTemporary Pole 0
SERVICE UPGRADE O—aMDS 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0 200amps 0 ___amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 3 1-I 00amps 101-200amps
Appliances: 0-30amps 31-100amps —10 1-200amps
A/C Circuits: 0-60amps 61-I 00amps
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRSMSCELLANEOUS
0 Replace Burnt/Damaged Meter Can 'Safety Inspection 0 Panel Change El OH to UG
El Other:
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.
Property Owners Name I&Ik,
. - I Phone Number
Electrical Company%ROAh�_ - Office Phone 3
Yax
Co.Address: 3_L_S_ 15�e
C ity j 4y-d d— StateL f zip_3_�11�11
License Holder(Print): State Certification/Registration
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ESSIE MERRITT of 20
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NotarY Public-state of Florjdj
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MY Comm,Expires Feb 9,20Y3 ature of Notary Public
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