5214 ANTARES CT - ELECTRIC CITY OF ATLANTIC BEACH
7 800 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-1373
Job Type: ELECTRIC ONLY
Description: 4 FIXTURES
Estimated Value:
Issue Date: 6/10/2015
Expiration Date: 12!7/2015
PROPERTY ADDRESS:
Address: 5214 ANTARES CT
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 $2.40
Trade Permit Base Fee $55.00
Total Payments: $61.40
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)247-5P16 - k,04)247-5845
JOB ADDRESS:__ —
SZ 14 A 4 'T PERMIT N
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JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 17.,P OLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overleod *10undergroaad Underground np Pok
Resideittial(Main)Service
0400 amps ' 1101-I50amps X151-200amps amps #of Metas
Commercial(Main)Service
0-100 amps 11101-150amps 'x !151-200amps amps ! "CT Service_amps
Conductor Type Sine
Mal6-Fsn*(Mein)Service
0-100 amps 11101-I50amps 151-200amps amps #of Una Meters
Temporary Pok I 1 amps
SERVICE UPGRADE ' a1T1P5 CTService_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
..100 amps ! 1150amps 200amps amps CT Service amps
ADDITIONS,REMODEL%,REPAM%BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outlets/Switches: 9-r 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool I.ISign 11 Smoke Detectors_Qty 'TransformersKVA Moors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALVE OF WORK S
Qty_volts/amps
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter CanSafety Inspection Panel Change OH to UG
Other:
Permit lx m void if work does not cmomence within a six monN period m wok is suspadd w abnWened for six months. I hereby certify tha,1 have
read this application nd kmw the s®e b be true ed oom L All provisions of laws and odlmmes smxatng this wok will be complied wan whence
fpecifwdonot 7hepamit does nmgtve aWbrityb vtoltle Ure provisions ofsry otiv arae w kXW law rejl,,jw n roawroaton o me pmfanwa:e of
rmaatrsin.
property Owners Name��LA23-DI Q : t Phone Number ---
electrical Comparry T�3ar rl'� S r o < / O o2'aC Office Phone 2dZ. Fax o` //9 ,R7i
Co.Address: Sl o -t/P,s- I'JZ_2if- ___ City IQ•Y.&P-a j��h State F Zip ZZ-
Licem Haider(Print): Ja,�.. T State CertificafmdRegi5Wdion# 1300�i2
an t1FlMltt
Ntlw POO•Wta at Arran fore me this_�_ y of m�4Q� 20 5 -
caaawar.a ts attrea Signature of Notary Public
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