5412 Capella Ct 2012 switches CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
it ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12- 10001160 Date 9/04/12
Property Address . . . . . . 541 CAPELLA CT
Application type description ELE TRIC ONLY
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . l 0
---------------------------------------- ------------------------------------
Application desc
outlet switches
--------------------------------------- ------------------------------------
Owner Contractor
NAVAL CONTINUING CARE BARKOSKIE ELECTRICAL SERVICE,
RETIREMENT FOUNDATION, INC INC.
1 FLEET LANDING BLVD 48 S . PENMAN ROAD
ATLANTIC BEACH FL 322334599 JAX BEACH FL 32250
(904) 246-4731
--------------------------------------- ------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 57 .40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/03/13
--------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STA E ELEC DCA SURCHARGE 2 . 00
STA E ELEC DBPR SURCHARGE 2 . 00
------------------
Fee summary Charged aid Credited Due
----------------- ---------- --- ------ ---------- ----------
Permit Fee Total 57 .40 57 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 61 .40 61 . 40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF kTLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELEeTRreAL PMZMT
APPLICAT ol,
CITY OF ATLAN7TC$EACH
800 Seminole R
Ph(904)247-826 F' c Beach,FL 32233
JOB ADDRESS: -512 ( )247-5845
PERMIT#
NEW SERVICE ❑Overhead
❑Residential ❑ Undergroun EDUnderground up,
Pole
(Main) Service
00-I00 amps Q I01-150amps ❑151-200amp ❑
----cps #of Meters
OCommerciai
(Main)Service
00-100 amps ❑101-150am s
P D 151-200amp ❑
Conductor Type --------.amps D CT Service
Size amp;
❑Multii-Family(Main)Service
00-100 amps Q 101-150am s
P Q 151-200amps� ❑
u ----
❑Temporary Pole El
SERVICE UPGRADE __0--amps ---cps #of Unit Meters
❑ CT S
ice— amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES
11100 amps El150arnPs D200am s ❑ ,ETC.)
p __amps DCT Service_
ADDITIONS,REMODELS,REP cps
Outlets/Switches: __ '�''BUILD-OUTS,AC SORY STRUCTURES, ETC.
Appliances: 0-30amps ______31-100am s
_____0-_0 ________31-100am --------101-200amps
A/C Circuits: _________0_60amps ,_______61-100am ' --------101-200amps
Heat Circuits: # circuits �a
kw
Number of Lightij Outlets, Including Fes—
tures:
OTHER E 'CIMCAL PROJECTS j
0 Swimming Pool ❑ Sign D Smoke Detectors Qty
FIRE D ransformers_^KVA ❑Motors hl
ALARM SYSTEM (Requires 3 sets of plans&Fire Checklist
Qty volts/amps )
REPAIRS/MSCELLANEOUS VALUE OF WORK
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection
❑0�er; ❑Panel Change
D OH to UG
Permit becomes void if work does not commence within a six month period or work is ded or abandoned for six months. 1 hereby certify read this application and know the same to be true and correct. All provisions of laws an ordinances governing this work will be complied with that
e
specified or not The permit does not give authority to violate the provisions of
construction. any other state or local law regulation construction or the performance of
Property Owners Name LA.,j ow
Phone Number Z410- -f'900
Electrical Company��Z,KOS/<i G.�fLl�
Office Phone 241- 473/ Fax Z498017
�o.Address: '�':53 :4 �x- Av�_=-. _ ______ City .1 rtx I' e.H State �- Zip 3ZZ5a
.icense Halder(Print); ' State Certification/Registration#tc 13 Z3 8"7
Votarized Signature of License Holder
.•Otary PuGtic State of Florida Sworn
subsctlb "h,- m this (J day of�('
Tiffany August 200
Av�em66n D0801 149
01212 01 2 Signature of Notary Public
y =xnrgc[)61251
UV
. j