Permit Electrical 126 Fleet Landing Blvd 2012 A, r
6 � x s CITY OF ATLANTIC BEACH
0 800 SEMINOLE ROAD
fi `r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000119 Date 1/30/12
Property Address 126 FLEET LANDING BLVD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
replace motor controller & main disconnect
Owner Contractor
NAVAL CONTINUING CARE LIBERTY ELECTRICAL CONTRACTORS
RETIREMENT FOUNDATION, INC PO BOX 8743
1 FLEET LANDING BLVD JACKSONVILLE FL 32239
ATLANTIC BEACH FL 322334599 (904) 745 -1850
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/28/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: / 0 Ce risa• -t- Lt r. 4 LS D
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS / 7 S AMPS 3-y b VOLTS / PHASE
VALUE OF WORK $ / 3 00
l
NEW SERVICE I I Overhead I Underground J Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi Family (Main) Service
00 -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 0200amps ❑ amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0 -3 Damps 31- 100amps 1 01 -200 amp s
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 VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
® Other: 4 A'7,b/-07 C r q -,r /k J J ` /4/,,,,,,t, A ,, I c - v v v A- r - r : T c .r Z 1 4 . ; : , - - 1 , 6
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 a.,..e.-k LAN C v Phone Number ?Q q - Ii
Electrical Company L,`tp 2 1=1- of c :4r\ i � , ,J C{,�dy-, =t (f c�
r� Office Phone 7p/ J Fax 9 V -((S S
Co. Address: / a \ I � /.00 G Cit State -0 . Zip 3 0-)l
License }folder (Print): Lo _
■ IF el; .. State Certification /Registration # C 0•
Doo /'t3
Notar . • , • ,s ,t older 1) _
,0. 4 SHIRLEY L. GRAHAM l
4 ,fr= MY COMMISSION It DD 957760 + , worn and i bscribed befor: is - t .is d.y of 20 12-
i of EXPIRES: February 14, 2014
, L tid: '� Bonded Thru Notary Public Underwriters 1
; Ve . , i gnature o N otary P _� :" 1 I .