2109 FLEET LANDING- ELECTRIC PANEL RELOCATE r .,_\.,\J__:..„
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f '' \S% CITY OF ATLANTIC BEACH
""" f 800 SEMINOLE ROAD
J A .i wM:...r i
J Z. 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: 16-ELEC-2076
Job Type: ELECTRIC ONLY
Description: RELOCATE PANEL - KIT REMODEL 100 AMPS 208
VOLTS
Estimated Value: $2,000.00
Issue Date: 9/15/2016
Expiration Date: 3/14/2017
PROPERTY ADDRESS:
Address: 2109 FLEET LANDING BLVD
RE Number: 169397-0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE
Address: 1 FLEET LANDING BLVD 1 FLEET LANDING
BOULEVARD
GENERAL CONTRACTOR INFORMATION:
Name: BARKOSKIE ELECTRICAL SERVICE,
, EC13002387
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 Appliances $4.00
Electrical Repairs $35.00
Lighting Outlets, Including $3.60
Fixtures
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
,0 ilk - , CITY OF ATLANTIC BEACH
J. " j 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
s P401119 -
Total Payments: $101.60
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 C 6 Lft —ao7(>
Ph (904 247-5r6 x.04) 247-5845 -6-1Ar
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JOB ADDRESS: 2/d I --� LAN r?i A/c,, 3 V h rERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS Z DS VOLTS 1 PHASE '
VALUE OF WORKS 2
NEW SERVICE ❑ Overhead 0 Underground Ell Underground up pale
Residential(Main)Service
0-100 amps ! !101-150amps 151-200amps amps #of Meters—
Commercial(Main)Service
0-100 amps ; -101-150amps ; :151-200amps amps CT Service• amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps ' ;101-150amps '151-200amps amps #of Unit Meters
Temporary Pole ; ' amps
SERVICE UPGRADE _____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: (p 0-30amps 31-100amps 101-200amps
Appliances: St 0-30amps ( 31-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool f ; Sign , ;Smoke Detectors_ Qty Transformers _ KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps T _ VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can /Safety Inspection Panel Change OH to UG
Other:"Ro c-A-r 9k E1- - ICt.'r e-R uta b EI---- —
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 aad 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 fe- P e -7 L41/ D .�
//I et Phone Number ' -2 /P,0 __ -
Electrical Company ACA t K6 .S L..Q- '- I-,' *7 Office Phone ox/[, - 41?5/ Fax C.7 RA/
Citx , State F Zip 2Z S
Co. Address: � � _' �� �- �� r � X
License Holder(Print): �.v� -1 State Certification/Registration# L100 'W7
.k OWE MERRITT ldertt1��tlRtl>rc 40 � ,
4.0;skik /Mary ru/Mk-tam a Ra a fore me this day of m -i - 20 1 ',
w Coma.EmileFeb 111.2011''''.4(4,11,;:.",
-,Cn"'ta tart! Si ture of Notary Public t. ,"R:e � 1E bided tin*Illakest N m.