Permit ELEC 5209 Antares 2011 lya
64 ** ,,,,,„
CITY OF ATLANTIC BEACH
) 1 800 SEMINOLE ROAD
J z ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
� a., ,
S.):' Application Number . . . . . 11- 00002622 Date 9/22/11
Property Address 5209 ANTARES CT
Application type description RESIDENTIAL ALTERATION
Property Zoning TO BE UPDATED
Application valuation . . . 2100
Application desc
bath remodel
Owner Contractor
NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS
RETIREMENT FOUNDATION, INC
1 FLEET LANDING BLVD 6771 SHINDLER DR
ATLANTIC BEACH FL 322334599 JACKSONVILLE FL 32222
(904) 838 -9179
Permit ELECTRICAL PERMIT
Additional desc .
Sub Contractor . BARKOSKIE ELECTRICAL SERVICE,
Permit Fee . . . 61.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 3/20/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 61.00 61.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 65.00 65.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PEPMET APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 •
OOBADDRESS: Sao /1.1A-evc-et, cnur4 FER/virr if-gcoax
EW SERVICE DOverhead 0 Underground 0 Underground up Pole .
OResidential (Main) Service
00 -100 amps 0 101- 150amps ❑ 151 200amps 0 amps # of Meters
❑ Commercial (Main) Service
00 -100 amps 0101- I50amps 0151 200anaps 0 amps OCT Service amps
Conductor Type Size
0MuIti -gam (Main) Service .
00 -100 amps ❑ 1O1- 150amps 0151 200amps 0 amps # of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
•
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0 I50amps O200amps 0 amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS; BUILD ACCESSORY STRUCTURES, ETC.
Outlets/Switches: .3 0- 3Oamps 31- 100amps I01200amps
Appliances: 0 -3Oamps 31- 100amps 101- 200amps •
A/C Circuits: 0- 60amps 61- 100amps
Heat Circuits_ # circuits ® . kw
Number of Lighting Outlets, Including Fixtures: -1 . .
OTHER ELECTRICAL PROJECTS
❑Swisnrning Pool ❑ Sign DSmoke Detectors Qty ❑Transfo mers KVA OMotors I
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps YALE OF WORK $
REPAIRS/MISCELLANEOUS
OReplace Bnmt/Damaged Meter Can °Safety inspection DPanel Change OOH to UG
00ther:
Ptaaait becomaes void if work does not commence a within a sit month period or work is suspended or abandoned for di moms. I hereby certify *ail have
neadtbis won and brow tine 9113205 10 be true and aorrect. All provisions alms and ordinances governing this work will be compiled with whether
specified or not The permit does not give authority to viointe the provisions of any other state or local law regulation construction or the performance of
construction. . •
Property Owners Name ,F/e4 La-.44 1 - wq Phone Number
Electrical Company g o..rkos Lt eIec�, c.. - Office Phone 9 70`1 -1`16 - r 131 Fax of -701
Co. Address: 15"3 31 Av - City <c--k beL- State c) Zip3,2
License Holder (Print): i - - .m... ; r...A State Cert7f cation/R.egistration #
Notarized Signature e f License Holder Ipp Ar
r° . ?+, reo iC Sale of Florida SWOT :t* subscribed before me this ! 0 day of Re 20 /' `, 'I iba Y August c � � `'c �
Commission Signature of No Public
H, ' a` My Comrru S ,"�..�"`�" `"" J
+� FxolresO6J261201
6'd L 108 6t7Z(1706) 0I:0373 3I)ISOMV8 s00 :06 H. ZZ des