4307 FLEET LANDING BLVD - ELECTRIC !-Aryl
r CITY OF ATLANTIC BEACH
Sy 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-2215
Job Type: ELECTRIC ONLY
Description: 2 FIXTURES
Estimated Value:
Issue Date: 9/18/2015
Expiration Date: 3/16/2016
PROPERTY ADDRESS:
Address: 4307 FLEET LANDING BLVD
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
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: $60.20
I'ERMMII IS APPROVED ONLY IN AC('ORDANCE WI II MA. CITY OF A1'LAN"I'IC 13FACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 , s - ��-�C -ZZ
Ph(9040 247-51'16 ^ k.04)247-5845 1
JOB ADDRESS: 4/3 7 / --e-&--.2-1-047%/D) '4 &✓, PERMIT# /sue- Z72-,
;. ,.
JEA INFORMATION REQUIRED ON ALL PERMITS /07) AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps : !101-150amps ,151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps ! i 101-150amps ! 1151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps ! E 101-150amps '151-200amps amps #of Unit Meters
Temporary Pole ; ' amps
SERVICE UPGRADE I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps i 1 50amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 2. 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 ! Sign I iSmoke Detectors Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK f
REPAIRS/MISCELLANEOUS
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 I have
read this application and know the same to be true and correct. 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 taw regulation construction or the performance of
construction. 1 �l
Property Owners Name F l�,Ort 0 l t' 4 Phone Number 14(' l D --
Electrical Company ,rK(5 .S lC 1 SL- ' ( -P '',--177C Office Phone c X/& • ??/ Fax 2 VQ ibl
Co. Address: `j_C-t f .- f v 1 citthx_dea_da state FL Zip '22S
License Holder(Print): Je•w•...5 14 State Certification/Registration# I3Q o g5-r7
!der 01
ESSIE MERRITT
ely74.e71-)/‘ • uoarr Mk-stale of Florida fore me this ,-.?,q ay of m -P - 20 17)
uy ea[[[rl.twins Feb 10.2017
caa� MN•Ef N Signature of Notary Public : IYARA AANF
t,4" 110000d Thom*tlatioml IlMary_ ♦Ma.
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