128 FLEET LANDING BLVD - ELECTRIC `s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,iy
J � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-581404
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1310
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SCREEN PORCH FANS AND SWITCHES
Estimated Value: $600.00
Issue Date: 6/8/2016
Expiration Date: 12/5/2016
PROPERTY ADDRESS:
Address: 128 FLEET LANDING BLVD
RE Number: LOC ID-0000
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING BLVD
0 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
Electrical Repairs $35.00
il Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 1 �
Ph(904) 247-5916 x.04)247-5845 _ .-13 1 0
JOB ADDRESS: ,I Z6 b I NI CI - V 1) ,'ERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ISO AMPS 24o VOLTS I PHASE
VALUE OF WORK$ 4)00°9—
NEW SERVICE ❑ Overhead ❑ Underground L Underground up Pole
Residential(Main)Service
0-100 amps ; 1101-150amps ,151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 1 ;101-150amps ; !I51-200amps 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 Ii 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 3 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: 2-
OTHER
OTHER ELECTRICAL PROJECTS
Swimming Pool I I Sign ; 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: 4c)') z— 0.-,,,,,s,,-p,,, ¶ 2 5f.,J 1't-+ t4-t-5 — SCILEeN1 BR-C1-4-
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. 1-413
Pro Owners Name �11 r- — t1-ET- t I iG Phone Number ik ,�-9 0v--
P�h'
Electrical Company /bet - _ ! Office Phone ox/(.o • 1/?9/ Fax a f`4I
Co.Address: ��_SA I.7 / SCJ-e_- CitjaiLideACh State F . Zip 3?2 S
License Holder(Ph int): Je-•w•...s 1-4veal"-ds State Certification/Registration# I o O 0-51r7
lder 0- 44,e, -----,
EWE MERRITT
ritsWM!Mk•State at Marta efore me this r'q ay of m t k ~ 20 1
My Count.Eo/lna Feb 10,2017
'',4,—. com et n EE Signature of Notary Public s ' t,�.