105 FLEET LANDING PS90 ELEC FOR COMCAST CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j 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-1308
Job Type: ELECTRIC ONLY
Description: comcast power for cable tv PS90
Estimated Value:
Issue Date: 6/3/2015
Expiration Date: 11/30/2015
PROPERTY ADDRESS:
Address: 105 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: ERNIE ISAAC ELECTRIC CO., INC.
Address: 1521 ROMNEY ST QA ERNIE ISAAC, JR
Phone: - -
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
C]CY'Y OF ATL:ANxTXC BEAca ,
800 Scminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 1-10 5-- ���e/r%t--d6.✓ 11^7141 rt �4 PPERM>U#
rel:,nV oiMAXON:' QU�R�D:ox�AL' xIITS r :A1�rnS:i `'` 'VOLE'S I As1N, E
l
VALUE OF WORK,$ S J�• `:
191NEVW SERVICE ❑ Overhead Underground QT Qndcrground up Pole
i
i7Residentxal(Main)Service
EG-100 amps G 101-150amps C-200amps of Meters �.
omercial(Malin)Service
'4na0-100 amps 0101-150a,mps Cl 151-200amps C L
l'
Conductor Type Size
LIMr>Ilti-I'Itutily(Maiu)service
00-100 craps 07101-150ramps 0,200amps C7 #of'Unit Meters I
CW Temporary Pole c amps
SER'V'ICE UPGRADT i
E
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) k
a
ADDITIONS,HE,MOUELS,REPAIRS,RU RJ)-OUTS.ACCESSORY STRUCTURES,ETC.
Outlets/Switches. 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps _61-100amps i
Heat Circuits. *circuits '@ kw
Number of Lighting Outlets,Including Fixtures:
OTIUR ELEC MCAL PROacTS
lJ ixp
FIRE ALARM SYSTEM (Regnires 3 sets of playas)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Permit becomes void if work does not commcnee within a six rnmth poriod or work is 0suspended or abandoned for Sax months. l hereby certify that I nave
Md this application and know the same to be true and correct All provisions oflaws and ordinances Sovcrning this work will he complied with whtdicr
specified or not, The permit doms aot give authority to violate the provisions of any other state or local Iaw regulation construction or the performance of
construction.
Property Owners Name 4f0 Al C A-,S Phone Number 090
Efecttioal compa.oy Ze m/E 9-c �r�' r Co., /.'c. Office Fbon�jLf-2-_/71
p 9v � 'f 4 f•f�`
Co.Address: 15:2 d RD^? Citytt"-K-gv V V t s t ! State {- Zip I r
License Holder(print). 4FkAI.PZ 7' S41 c- ,��• State Cortification/Rcg'istration
Notarized Signature Ofx i nSe Holder
Before me this J day of VIRGINIA 0.MACK
g•� t+ Notary Public-SUN at Florida
Signature o£Notary Public �• •f COmmltti011 aFP 214"W
a,; bF F� ^�• y comm,Expina Jul 0,2019
nn a •. " Bmo flMdpfl Ntlfotlil Ndary Um.