4000 Fleet Landing Blvd guest room elec permit CITY OF ATLANTIC BEACH
.j 800 SEMINOLE ROAD
;d 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-3376
Job Type: ELECTRIC ONLY
Desaiption: remodel 12 outlets/switches >30 amps, 10 outlets &fixtures
Esdmated Value:
Issue Date: 2/28/2017
Expiration Date: 8/27/2017
PROPERTY ADDRESS:
Address: 4000 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 CIA JAMES T. HUGHES
Phone: 904-246-4731
FEES:
Lighting Outlets, Including $6.00
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $7.20
Trade Permit Base Fee $55.00
Total Payments: $72.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
,I Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: `4ow 3l,D4 6 t f ES'T 12COA t PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PRASE
VALUE OF WORK 8
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
Residential(Main)Service
0-100 amps 1 1101-150amps 151-200amps i amps #of Meters
Commercial(Main)Service
0-100 amps 1 1101-150amps !151-200amps amps CT Service amps
Conductor Type Sim
Multi-Family(Main)Service
0-100 amps 1 1101-150amps ! !151-200amps amps #of Unit Meters
I:Temporary Pok l 1 amps
SERVICE UPGRADE I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
:100 amps 11150amps 200amps amps ! 'CT Serviceamps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _$-0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps _61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures: 10
OTHER ELECTRICAL PROJECTS
Swimming Pool USign I !Smoke Detectors_Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plains)
Qty_vohs/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burro/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 1 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 nor. The permit does not give authority w violate the provisions of any other state or local law regulation consuvaion or the pafomance of
construction. C /
Property Owners Name rLG&-r[AW 01^/4 iULGTLr= Phone Number Z7l/ 99 c�t>
Electrical Company�'a'ZIL.OSKIYE S 7YGtC � Office Phone,?W( A79! Fax Z4g8O/7
Co.Address: 6.5� City State A* zip
License Holder(Print): JrkMt f eZ A14 � State Cefification/Registratione# /3 00 2S$'7
Notarized SignoWre ojLiceme Holder / ,La� 4)�=
Before me this�gjday of— kR 20��
Signature of Notary Public