1306 Fleet Landing 2015 elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-230
Job Type: ELECTRIC ONLY
Description: 8 outlets, 2 fixtures
Estimated Value:
Issue Date: 1/28/2015
Expiration Date: 7/27/2015
PROPERTY ADDRESS:
Address: 1306 FLEET LANDING BLVD
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
GENERAL CONTRACTOR INFORMATION:
Name: BARKOSKIE ELECTRICAL SERVICE,
Address: 48 S PENMAN RD QA JAMES T. HUGHES
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
l
State Elec DCA Surcharge $2.00
Switch Outlets $4.80
Lighting Outlets, Including Fixtures $1.20
Trade Permit Base Fee $55.00
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATL.Armc BEACH
800 Seminole Rd,Atlantic Reach,FL 32233
Ph(904) 247-5?16 - k,04)247-5845
JoB ADDRESS J 906 �z��I LA-y✓A„�� T�t-✓�. fir# 1 s-ZAA;e-1j4
JEA INFORMATION REQUIRED ON ALL PERMITS 10 Q AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE 1:1 Overread ❑ Underground Qi Underground up Pole
Residembell(Maim)Service
0-100 amps ' 1101-150amps 151-200mnprs _-- amps #of Meters
Commercial(Main)Service
0-100 amps ' 1 101-150amps G ?151-200amps ampsCT Service amps
Conductor Type — Size
Matti-FaaWy(Maim)Service
0-100 amps i !101-150amps 151-200smps amps #of Unit Meters
Temporary Pole : ' amPs
SERVICE UPGRADE amps CT Service anq*
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1150anws 200amps amps CT Service amps
ADDITIONS, MODE PAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Otltlets/Sw es: _0-30amps 3 1-1 tf0amps 10 l-200amps
Appliances: �_0-30amps 31-100amps 10 i-200aatps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuitscQ kw
Number of Lighting Outlets, Including Fixtures: 'Z
OTHER ELECTRICAL PROJECTS
Swimming Pool I 1 Sign ; Smoke Detectors Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sda of prams) VALUE OF WORK S
Qty volts/amm
REPAIRS/MISCELL ANEOU S
Replace BurnYDamaged Meter Can Safety Inspection Panel Change OH to UG
Other:
pamit becomes void if wale does not eomttx=within a six month paw or wotic is dod or abandoned for six months• l hacby earthy dw i have
read this application aed lmow the same to be frac and Wit. All pWvhg0ft of laws sad Qrdinaa=govanu*this work wal be comps ed with wbcdw
specified or not Tbc pamit does not give authority to violate the provimas or any other state or local law regulation consvuc6m or the perfornmoce of
coranuaion-
Property Owners Name IV Mf ev it m rjul&" � Phone Number. -
Electrical Company � �' S�1 Q �- l P <' `7C_office Phone ���/ Fax p�
Co.Address:n 'Gi e City L 7 �'- State EL Zip la_-
Liioa3e Holder(hvt): 4der
State CettificativnlRegistration# 13QU 587
4-0-
:1"
l aft MERRITTrl►Ftic-atata al t' fore me this .� y of m �-� 20 1
ts.atmtsws• tlma Signature of Notary Public m�Me" Ana.