195 Seminole Rd - New Electric CITY OF ATLANTIC BEACH
- 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0162
Description: NEW RESIDENTIAL SERVICE
Estimated Value: 0
Issue Date: 10/19/2017
Expiration Date: 4/17/2018
PROPERTY ADDRESS:
Address: 195 SEMINOLE RD
RE Number: 170604 0000
PROPERTY OWNER:
Name: MICROBIAL NATURAL PRODUCTS INC
Address: 1207 SEMINOLE RD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 E FLS I`1--01
q Ph(904) 247-5826 Fax(904)247-5845
.TOB ADDRESS: / ` /'�`�L PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS 7-40 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead { Underground ❑1 Underground up Pole
Residential(Main)Service
0-100 amps 1 i 101-150amps -4�5-1-200amps amps #of Meters
Commercial(Main)Service
0-100 amps !! i 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps I 1101-150amps '151-200amps amps #of Unit Meters
Temporary Pole I I amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1 i 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _4,Q�_0-30amps 31-I00amps 101-200amps
Appliances: Z 0-30amps 31-l 00amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: �_ # circuits @ 5 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool ! i Sign ; iSmoke Detectors_Qty 'Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Bumt/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. •le permit does not give authority to violate the provisions of any other state or local law regulation constriction or the performance of
construction. A r
Property Owners Name MI C4eo[31 �'i—I`� �� PtZ D"t�5 Phone Number_ � �.� �
Electrical Comparry�A-Q-K�S111t;; ^t-EL't�l L� Office Phone Z410 4-7-31 Fax 2,44S-�-17
Co.Address: ��-3 � �� �� City J State Zip3uSV
Lweaw Holder(Prillilt): JA-nn e-5 4vw,wtFt State Certification/RegisWWoni /3O 23 S'7
Notarized Signature of License Hold /
r„PIV OWYMPERM1 Before me this 9 day of s a .Y� 20AJ _
' a 0*Wi7-2 Signature of Notary Public
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`r:.L`l
r,S t�rP
Cash
J . Atlantic Beach
- .
City
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $202.97
ERES17-0162 Address: 195 SEMINOLE RD APN: 170604 0000 $202.97
ELECTRICAL $198.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 101 $60.00
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 60 $36.00
FIXTURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $36.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
STATE SURCHARGES $4.97
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.97
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALPAID BY RECEIPT: R3225 $202.97
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
10;19,'2011 11:25:35
CREDIT CARD
MC SALE
Card; XXXXXXXXXI 7132
SEQ#: 7
Batch#: 466
INVOICE 7
Approval Code: 0003+6
Entry Method: Manual
Mode: Online
Tax Amount: $0,00
Card Code: M
SALE AMOUNT $202.91
CUSTOMER COPY
Date Paid:Thursday, October 19, 2(
Paid By: BARKOSKIE ELECTRICAL SEF
Cashier: BA
Pay Method: CREDIT CARD 7
Printed:Thursday,October 19,2017 2:27 PM 1 of 1 or