5802 FLEET LANDING BLVD - ELECTRIC j r\,j r
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CITY OF ATLANTIC BEACH
;- „s,.: ` �� 800 SEMINOLE ROAD
J 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: 17-ELEC-2926
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 4 OUTLETS, ONE CIRCUIT, ONE FIXTURES
Estimated Value: $2,500.00
Issue Date: 1/4/2017
Expiration Date: 7/3/2017
PROPERTY ADDRESS:
Address: 5802 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,
James T. Hughes, 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
Switch Outlets $2.40
Lighting Outlets, Including $0.60
Fixtures
Trade Permit Base Fee $55.00
II
Total Payments: $67.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 .___7 /_
Ph(904' 24�7-s?"6 ^ k,04)247-5845 1 / -
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JOB ADDRESS: ��2- � L/ 'T� D/AJe, 7-51_✓6 PERMIT# 1I. - zt_gt'J
JEA INFORMATION REQUIRED ON ALL PERMITS __AMPS Z *1'v VOLTS / PHASE
VALUE OF WORK$ 25DD
NEW SERVICE ❑ Overhead ❑ Underground Ly Underground up Pole
Residential(Main)Service
0-100 amps 1101-150am ps 151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 1 !l 01-150amps ; ;151-200amps amps CT Service• amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 1101-150amps :151-200amps amps #of Unit Meters
Temporary Pole ; ' amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1 150amps 200amps amps CT Service amps•
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _ If 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: I
OTHER ELECTRICAL PROJECTS
Swimming Pool I I Sign ; Smoke Detectors Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK f
Qty volts/amps
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 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 constriction or the performance of
construction. ` C'2
Property Owners Name `'1),Ate ►" eF Phone Number_, -' • y-95 --
Electrical Company , t K6 .S f:(-Q < / .' l'*7C Office Phone�/(, ' ?5/ Fax 2 L/C
s `' �� +' .4.Co.Address: Cit S. State FL Zip '2Z S
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License Holder(Print): J4'..v•-t.e.5 uvibState Certification/Registration# 110 o'?51?
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,001 ESSIE MERRITT
ri: h -State of Rodfore me this rJZ o ay of ma^-�-�� 20 \ 3
• orsy Mk• My Comm.Wires Tsh 10.2017• Commission 0 EE MOO Signature of Notary Public l Y/1Z
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••;N r gosMd Through National Notary Assn
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