3000 FLEET LANDING #3307 - ELECTRIC r j1-j"\-1-1 '
' ''7 CITY OF ATLANTIC BEACH
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`S 800 SEMINOLE ROAD
J 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-2608
Job Type: ELECTRIC ONLY
Description: 10 elec fixtures #3307
Estimated Value:
Issue Date: 11/4/2015
Expiration Date: 5/2/2016
PROPERTY ADDRESS:
Address: 3000 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: 904-246-4731
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $6.00
Trade Permit Base Fee $55.00
Total Payments: $65.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
r. .I-- — • ELECTRICAL PERMIT APPLICATION
•
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Reach;'FL 32233
Ph (904) 247-Sf16 ^ k.04)247-5845 r'
JOB ADDRESS:_3 coo J LE. -'�_ D i 'v 61 3 3r)7 PERMIT# /$ 24GB......._
JEA INFORMATION REQUIRED ON ALL PERMITS /00 AMPS / SVOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps ; 1 101-150amps ;151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 1 1 101-150amps ; !151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 1 1 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole ; ; amps
SERVICE UPGRADE 1 amps ; CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1 1150amps 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 @ kww
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool I 1 Sign I ;Smoke Detectors Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace BBuurnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: ►`EW�e aL ill e-%S F !L W T I?E 4 o'0 EL
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 law regulation construction or the performance of
construction.
Property Owners Name A/6 6R. Phone Number_2 J4,4:DO_--
Electrical Company Abe, _ . _' Office Phone o./(j • 4,/? / Fax (74
Co. Address: �, cA,P. I CitLICLICri2 State Fi Zip 5322 S
License Holder(Print): )" S 'r, State Certification/Registration# (3o O?5 7
lder 0
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c +t •11 MOO Signature of Notary Public ,.„0,J-k_,
' SNOW Not*Wool Notary
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