1 FLEET LANDING 3102 ELEC 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY SEPARATE ELECTRIC PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELEC17-0001
Description: BUILDING 3000 , UNIT 3102
Estimated Value: 0
Issue Date: 5/31/2017
Expiration Date: 11/27/2017
PROPERTY ADDRESS:
Address: 1 FLEET LANDING BLVD
RE Number. 169397 0200
PROPERTY OWNER:
Name: NAVAL CONTINUING CARE RETIREMENT FOUNDATION INC
Address: 1 FLEET LANDING BLVD
ATLANTIC BEACH, FL 32233A599
GENERAL CONTRACrOR INFORMATION:
Name:
Address:
Phone:
Name: BARKOSKIE ELECTRICAL SERVICE,
Address: 48 S PENMAN RD INC.148 S. PENMAN ROAD
JACKSONVILLE BEACH, FL 32250
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
*A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 E L C C `7 _ 0001
JOBADDRESS: / C &L-rZ-f'J0vd4 ;3 6 X3/02 34ae 73e Ce4 . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 120 AMPS LBB VOLTS / PHASE
VALUE OF WORK$ Ito
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
Residential(Main)Service
0-100 amps 1.1101-150amps X151-200amps I amps Of Meters
Commercial(Main)Service
0-100 amps Ii101-ISOamps 1 !151-200amps amps CTServiceamps
Conductor Type Sim
Matti-Family(Mala)Service
0-100 amps 11101-150amps : 1151-200amps amps of Unit Meters_
Temporary Pok I amps
SERVICE UPGRADE ' I amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
:100 amps 1 1I50amps 200amps amps -CT Serviceamps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
OutleWSwitches: 0-30amps 31-100amps 101-200amps
Appliances: Z 0-30amps 3I-100amps 101-200amps
f A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures: A
OTBERELECTRICAL PROJECTS
Swimming Pool IJ Sign I ]Smoke Detectors_Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of ptsm)
Qty_volts/amps VALUE OF WORK f
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter CanSafety Inspection .Panel Change OH to UG
other: -12iPLoC*-Te �,,.jEL
P=it becomes void if work does not Commence within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have
read this application and know the same W be true and correct All provisions of laws and ordinances governing this work will be complied with whether
specified m rat The permit does not give audarity W violate the provisions of any odes slate or IoW law reguluion construaion or the Performance of
mnslnx ion.
Property Owners NameTEez'r L.A-"DitJLs Phone Number J/f4-4900
Electrical CompanY50KOSK16�?t_ Office Phone 24i 4 7'J/ Fax 2,49&17
Co.Address:g5-,3 54,r77� *�F City ✓a State�. Zip 3ZZSV
License Holder(Print): J6b"�HoWf n� State Certification✓Registiation `�3�L387
Notarized Signature ofLfeenae
�ecE 17
Beforeme this,5Z(p_day of 20 _
—1-,20 11 Signature of Notary Public
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