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2210 Fleet landing elec 2015 CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD j ATLANTIC BEACH, FL 32233 t. INSPECTION PHONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 15-ELEC-886 Job Type: ELECTRIC ONLY Description: 2 appliances 30 amps Estimated Value: Issue Date: 4/21/2015 Expiration Date: 10/18/2015 PROPERTY ADDRESS: Address: 2210 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 State Elec DCA Surcharge $2.00 Lighting Outlets, Including Fixtures $1.20 Trade Permit Base Fee $55.00 Total Payments: $60.20 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 Reach,FL 32233 _ Ph(904)247-5916 k,04)247-5845 Jos ADDRESS: I__ I't.G�� J I �C.,13L�� --2 10 PERMIT# ls— 6,58 JEA INFORMATION REQUIRED ON ALL PERMITS AMPS'�?�� VOLTS PHASE VALUE OF WORKS NEW SERVICE ❑ Over)bead ❑ Underground ❑T Underground up Pok Residential(Main)Service 0-100 amps ; i 101-150amps 151-200amps amps #of Meters Commercial(Main)Service 0-100 amps 1 ;101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main)Service 0-100 amps f 1101-1 50amps 151-200amps amps #of Unit Meters Temporary Pok i !_amps SERVICE UPGRADE § amps CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 100 amps ! '1150amps 200amps amps CT Service amps ADDPPIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: _0-30amps 31-I00amps 101-200amps A/C Circuits: 0-60amps 61-l 00amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS Swimming Pool i i Sign i iSmoke Detectors Qty Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 seta of plans) VALUE OF WORK S Qty volts/amps REPAIRS/M]SCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: 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 t have read this application arid know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether spocified or not. Tho permit does not give authority to violate the provisions of any other state or local law regulation cons motion or the performance of construction. Property Owners Namet-/�'�1 Phone Number b -- Electrical Company CL Q L ' l' . C Office Phone c� t� q�-3�� Fax �j ++ -- Co.Address: �Gi -[' CJ Citx,IC�,� State Zip Liooau Holder(PH RO: Jar , State Certification/Registration# t3o 0 0-t5jg J:aq er ..N US*I�RR -y ►vaMic-Etatfore me this�_ ay of 20 l I• my comma.E.V, F cowwft w u Egnature of Notary Public ;�&w*d TWW*Nal"