2 FORRESTAL CIR - ELECTRICAL �) S, CITY OF ATLANTIC BEACH
A� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
legar INSPECTION PHONE LINE 247-5814
k J3iS 9)
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1094
Job Type: ELECTRIC ONLY
Description: 3 FIXTURES REPAIRS
Estimated Value:
Issue Date: 5/11/2016
Expiration Date: 11/7/2016
PROPERTY ADDRESS:
Address: 2 FORRESTAL CIR
RE Number: 171765-0000
PROPERTY OWNER:
Name: MAYPORT SPORTS/ MCDANIELS
Address: 2 Forrestal CIR
GENERAL CONTRACTOR INFORMATION:
Name: BARKOSKIE ELECTRICAL SERVICE,
Address: 48 S PENMAN RD QA JAMES T. HUGHES
Phone: 904-246-4731
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $1.80
Total Payments: $60.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CIT\' OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
Bl7LDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 2477-5916 x.04)247-5845
JOB ADDRESS:_Z i ' -t-a'L. CA ft. N J , JERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS IA°O AMPS Z 0 VOLTS 1 PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead D Underground ❑J Underground up Pole
Residential(Main)Service
0-100 amps ' 1101-150amps ;151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps I i 101-150amps + 1 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps I 1 101-150amps '151-200amps amps #of Unit Meters
Temporary Pole i ! amps
SERVICE UPGRADE I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps I i 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: / 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: / # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool I I Sign I +Smoke Detectors Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
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 I have
road this application and know the same to be true and comet. 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. q,
Property Owners Name —195" �"`C b/34‘)i ek.S Phone Number 3,.../L - 73 32.- --
Electrical Company 'oat s _ • _. .■V Office Phone U/C/(„A, • 0-,D/ Fax a c.' y
Co. Address: �Z_S i_,_- ' K city jojc l State F? Zip 322 S
License Holder(Print): 34.w•...5 -1 t-- v State Certification/Registration# tlo c>
Ider 0-
ESSIE MERRITT
' - , Man Ptak-state of Floras efore me this y of m -P-■ — 20 \ --)j
My Comm.E ras Fab 10,i011
Commill"•EE MN Signature of Notary Public s ' _ -tn.
4.4 'z``47:116. loaUd Thrro Natio,*Mears&