5812 FLEET LANDING BLVD - ELECTRIC A/C . 1- Jai
I,
1 CITY OF ATLANTIC BEACH
J � �S
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: 16-ELEC-1970
Job Type: ELECTRIC ONLY
Description: ELECTRIC - A/C CIRCUIT
Estimated Value: $1,700.00
Issue Date: 8/30/2016
Expiration Date: 2/26/2017
PROPERTY ADDRESS:
Address: 5812 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,
, 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
AC Circuits $5.00
Trade Permit Base Fee $55.00
Total Payments: $64.00
PERMrr IS APPROVED ONLY IN ACCORDANCE WW 1111 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 / j �--�
Ph(904?247-5916 - x-04)247-5845 1 &-e- -C3. --/47c
JOB ADDRESS:_5 e/2 er LA-Ai D/Are, r z-v O. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZQo AMPS Z'V VOLTS l PHASE
VALUE OF WORK$ 1700"'
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
Residential(Main)Service
0-100 amps ! 1101-150amps ,151-200amps i , 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 1101-150amps 1151-200amps amps # of Unit Meters
Temporary Pole I I amps
SERVICE UPGRADE I amps . CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
.100 amps 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: J 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool I Sign 1 !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
xOtherr-RE X. re. 504- 64 te-e-A i r -r. NES 'Ye- Spi-rr Sr S i 7�1
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.r LAE' LAPP) I OA Phone Number 2`"/,‘ -9/I°U
Electrical Company 4a,KC LQ ‹ t, c-'27-11-7C Office Phone c•:-K • 4/29/ Fax CIV (RY 7
Co. Address: 'C ---3,c—A__,__ &-v- C}-e- City Q,!' 8C�a (' ) State E_e Zip 320 Sfi
License Holder(Print): Je-•w•... , 1-L' State Certification/Registration# i"So o,9-5s-r7
Mer 0.001""4,,,, ESSIE MERRITT
s' .�� ' Notary Public•State of Floridaefore me this , ay of m -k 20 \ �j
i•7_• • My Comm.Etyires Feb 10.201?
Commission N EE 1172550 Signature of Notary Public (( , '
* -•••••"..%; kneed Through National Notary Asan.