5519 RGEL CT - ELECTRIC e -4y- . °! CITY OF ATLANTIC BEACH
5 Al t 800 SEMINOLE ROAD
'r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1551
Job Type: ELECTRIC ONLY
Description: Relocate outlets
Estimated Value:
Issue Date: 6/29/2015
Expiration Date: 12/26/2015
PROPERTY ADDRESS:
Address: 5519 RIGEL 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 $3.00
Trade Permit Base Fee $55.00
Total Payments: $62.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-cp16 — k-04)247-5845
JOB ADDRESS: 5,57 7/a ez e?' PERMrr# /s/2-3 4
JEA INFORMATION REQUIRED ON ALL PERMITS )SLR AMPS 1 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground L J1 Underground up Pole
Residential(Main)Service
0-100 amps ; 110l-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 1 1101-150amps '151-200amps amps #of Unit Meters
Temporary Pole i I amps
SERVICE UPGRADE i amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps I 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 5 _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 1 Sign iSmoke Detectors_Qty ' 'Transformers KVA • Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plats)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: I a_ • ' 0 u R— A I'LL 12E714 c D
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 I have
read this application and know the same to be true and corned All provisions of laws and ordinances governing this work will be complied with whether
specified or not The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name 1IIIEET— Lk73 +�1 ''S Cl Phone Number `T,6 -5:1_00 ---
Electrical Company Alb de _ !. _• - Lt' " Office Phone o1-/(,42 • 7-?/ Fax YQ Et(
Co. Address: Z_cIL,,?_7 & k -e- City , &. ( State FL Zip 322.5
License Holder(Print): Je.v�, 5 - 1 State Certification/Registration# lot2aV 7
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%, ,—s•%. °mills**.•EE rat" Signature of Notary Public , ' 1c
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