112 FLEET LANDING BLVD - ELECTRIC CITY OF ATLANTIC BEACH
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: 17-ELEC-2925
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 6 OUTLETS, 3 APPLIANCE & 2 LIGHTS
Estimated Value: $2,500.00
Issue Date: 1/4/2017
Expiration Date: 7/3/2017
PROPERTY ADDRESS:
Address: 112 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
Switch Outlets $4.80
Lighting Outlets, Including $1.80
Fixtures
Trade Permit Base Fee $55.00
Total Payments: $65.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WW ITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Reach, FL 32233r"/ EL-C -�--
Ph(904 247-5F16 " k,04)247-5845 -EL-C - - Z!Z5
JOB ADDRESS:_J/Z_ _ e r LA's 1x/4 73,..,,/ .PERMIT# /6-2464o
.IEA INFORMATION REQUIRED ON ALL PERMITS /IV AMPS 2-46 VOLTS I PHASE
•
VALUE OF WORK$ 25.1:4)
tje
•
NEW SERVICE ❑ Overhead ❑ Underground Li Underground up Pole
Residential am (Haiti) ; i; 1 -150am 151-200amps amps #of Meters
0-100 amps ps
Commercial(Maim)Service
0-100 amps ' ,101-1 S0amps i ,151-200amps amps CT Service. amps
Conductor Type Size
Maki-Family(Main)Service
0-100 amps i i 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 1 1 150amps 200amps amps CT Service amps.
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _ (p 0-30amps 31-100amps 101-200amps
Appliances: 3 0-30amps __ 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: _.Z___-
OTHER ELECTRICAL PROJECTS
Swimming Pool H Sign : ;Smoke Detectors Qty Transformers -_ KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plass) VALUE OF WORK S
QV volts/amps
REPAIRS/MISCELL.ANEOUS
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 sic to be true and correct All provisions of laws and ordinances governing this work will be complied with whether
specified or not The pamtt does not give authority to violate the provisions of any other state or local taw regulation construction or the performance of
construction. ' _A� gcProperty Owners Name "'l_ lr • D,^l4 - CRF Phone Number.44 k J 99 5 - -
Electrical Company ,/ O S LL 4 to c-717-7C Office Phone oZ_.&__ • q2_2L Fax 2(1'2
fty
Co.Address: ---' ,Ch -?-
74t1-(;)_,V. I' LL)--e__ City JOX L5--CLQ ch State Ft Zip 322_,S
License Holder(Print): Jam,,,,...s 'r, 44 ``r, State Certification/Registration# 13o QgW7
. • der 0 "4 afi, -----,....,, ,
-kale or pores : -fore me this � y of 1 -4-k' - 20 1 -'j
iif y- < w�off 110, r Signature of NotaryPublic •
,^4.-., l t Natalia . . S gta