Permit 86 Ocean BoulevardCITY 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
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Charged Paid Credited
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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.
y ELECTRICAL PERNIIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)/ 247826 Fax (904) 247-5845
JOE ADDRESS: ~ 6 ~~.(~.. ~i "~~
ERMIT #
NEW SERVICE ^Overhead ^ Underground ^ Underground up Pole
^Residential (Main). Service
^0-100 amps ^ 101-150ainps 151-200amps D 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, REPAIl2S, 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
^Swimm;ng Pool ^ Sign ^Smoke Detectors ^Qty OTransformers KVA ^Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
REPAIRS/1VIISCELLANEOUS
^ Replace Burnt/Damaged Meter Can ~afety Inspection ^ Panel Change ^ OH to UG
^ 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 lmow 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 l~-(7~~~ f _ Phone Number
i _
Electrical Company,~~ ~,~ it.-t.- Office Phone ~~~ ~,~Fax
Co. Address: ~S`~.3
Lacense Holder (Paint): J ~~
City-~~UL._ State Zip ~ ~~
hate Certification/Registration # ~ %a ~~'~~
~o~~t°Ez~c~' ~~r~~trr..r.F~ a~~zer:r~s~ 1'~a~cZcr°
•„ ~~iu,•~ ` ESSIE MERRITT CYt~2 ~LLl~ ST.k~}SCtlty~d befCtre 4'~Pe tl~S ~ day Cif
tl~~ °li!
a`~+° `~- Notary Public -State of Flori4~ ~~~ ~~~
• = My Comm. Expires Feb 9, 20131 ague of hTataiy I~ublic ,~
'%+ Q; Commission # DD 831667
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•~~OF`~• Bonded Through National Notary Assn.
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