Permit Elec 106 Fleet Landing 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
7", ATLANTIC BEACH, FL 32233
",;F" 77
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-00000731 Date 10/11/12
Property Address . . . . . . 106 FLEET LANDING BLVD
Application type description RESIDENTIAL ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5600
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Application desc
shower porch repair donversion
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Owner Contractor
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NAVAL CONTINUING CARE NORTH RIVER BUILDING SOLUTIONS
RETIREMENT FOUNDATION, INC 6771 SHINDLER DR
1 FLEET LANDING BLVD JACKSONVILLE FL 32222
ATLANTIC BEACH FL 322334599 (904) 838-9179
--- Structure Information 000 000 SHOWER/ PORCH REPAIRS
Occupancy Type . . . . . . RESIDENTIAL
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor BARKOSKIE ELECTRICAL SERVICE,
Permit Fee . . . . 56 . 80 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/09/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56 . 80 56 . 80 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 60 . 80 60 . 80 . 00 . 00
PERM4 IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRI[CAL PERMT APPLICA'UON
Crry OF ATLANnc IjEACH
100 Selninole Rd,
Ph(904)247 Atlantic Beach,FL 32233
JOB ADPRESS: -5826 Fax(904)247-5945
eAl
__ 6 PF-RMT# 2 73
NEW sEpvCE Ove ead
ORL'sidential (Main) Service EDUnderground Fj Underground UP Pole
110-100 amps 0101-150amps 0 151-200amps 0---anips #Of Meters
'Commercial MWA) Service
00-100 amps 0101-150anips
Conductor Type size 0 151-200amps 0 _amps OCT Service
EIM10"_Famfly(Main)Service amp;
0 0-100 amps 0101-150amps
0 151-200araps 0
ElTeTporary Pole 0 _amps, #Of Unit Met, ..
SERVICE UPGRADE --amps
---amps 0 CT Service
NEW FE�OERP(�DOIDILONS,ACCESSORY S amps
El 00 am ps TRUCTUR.ES11 ETC.)
0200amps 0
AIDDrIJONS,REMODELS,REPAIRS I BUILD-OUTS—amps OCT Service_amps
OutleWSWitches: —_30-30amps 'ACCESSORY STRUCTURES, ETC.
APP14nces: --0-30amps �3 1-1 00amps
A/C dircuits: �j 1_I 00amps �l 0 1-200amps
Heat Circuits: -.0-60amps 61-100amps _�l 0 1-200amps
Number of Li — # circuits W_j�k;�
ght'�i Outlets, Including Fixtures: t
OTHER ELECTWCAL PROJECTS
0Sw'mm'n9POO1 E] Sign 0 Smoke Detectors OTransformers
-Qty KVA Omotors hl
FIRE ALARM SYSTEM (Requim 3 sets of Plans &Fire Alarm
QtY—volts/amps Checklist)
REPAJRSII�I IISCELLANEOUS VALUEoFwo.RKs------------
ORepla I[ce Burnt/Damaged Meter Can 0 Safety Inspection Opanel Change OOH to UG
Pennit becmm—
not commence within a six peri od or-work i suspenf;5 or ab an do—.-,;j
readdiisappli"' and imow the same tc)be trueand correcL All provisions of s six months. I he�r_eby certify that I have
sPecified or not The Permit does not give authority to violate the provisi laws and ordinances governing this work will be compiied with whethe,
consftuction. ons of any other state or local law regulation construction Or the Performance of
Property Owners Name
Electricai com: Phone Number Z4(v-I=lq zi a
MY
Co.Address:_: 19Y3 -- ffice Phone 7_4&4-7-s Fax Z*9 So 17
AIL city J
Lkense Holder(print): _ /S — StatWE zip3��.
State Certification/RegL,1xati#3:_ -309 Z-_S F7
'Votarized Sig-M! ature of License Hoider
P,U.�i;c state C),F�Dr�da Sworn subscrib be'fo're me this
Tiff,�rly AugUst day of 20/0
M
A)v ccrn' ission DD801 149 Signature of Notuy Public
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