101 FLEET LANDING BLVD ELECTR PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r _
CITY OF ATLANTIC BEACH ERES19-0071
IssuED: 2/26/2019 f
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/25/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' BUILDING
CODEA. NEC, IPMC, OF • OF ORDINANCES .
A LL CONDITIONS OF • •
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
101 FLEET LANDING BV ELECTRICAL RESIDENTIAL 150 amps/240 volts/single- $975.00
phase - add outlets, switches
TYPE OF
• • GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS:
BARKOSKIE ELECTRICAL 48 S PENMAN RD JACKSONVILLE FL 32250
SERVICE, BEACH
• ADDRESS:
NAVAL CONTINUING CARE
RETIREMENT 1 FLEET LANDING BLVD ATLANTIC BEACH FL 32233-4599
FOUNDATION INC
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF . . •
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 12 $7.20
ELEC SWITCH AND RECEPTACLE OUTLETS 4S5-0000-322-1000 0 $4.80
ELECTRICAL BASE FEE 45S-0000-322-1000 0 $55.00
Issued Date: 2/26/2019 1 of 2
s
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH ERES19-0071
800 SEMINOLE ROAD
ISSUED: 2/26/2019
EXPIRES: 8/25/2019
ATLANTIC BEACH. FL 32233
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.66
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
WORK WITHOUT PERMIT 455-0000-322-1000 0 $110.00
TOTAL: $181.66
Issued Date: 2/26/2019 2 Of 2
Feb 26 19,&9AP*gof theL*4aefey prohibited. If youhave received this communication in err N98jg 9simmediately. Thankp 1
YOU ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: I r TjuJ ;_'� PERMr#
JEA INFORMATION REQUIRED ON ALL PERMITS 1 So AMPS ?#y VOLTS C PHASE
VALUE OF WORKS 975
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps G 151-200amps _ amps #of Meters
❑Commercial(Main)Service
13-0-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑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 ❑I50amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100 amps 101-200 ainps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (g7_
kw
Number of Lighting Outlets, Including Fixtures:
--L-2--
OTHER
LOTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA DMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volWamps VALUE OF WORK S
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 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 not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name i U-pi iD l w, -- /1l ' ft,F Phone Number .7-46- F9Z'0
Electrical Company eolel C t C Office Phone Z46*-3/ Fax 2—*V&0
Co.Address: _ 3 �1� '-T "72 .�./` � � �l-t_
City State (r'L Zip 3LL5'�
License Holder(Print): G State Certification/Registration#t62�/-3 cc Z3$-7
Notarized Signature of License
-WEEP`.,,,,DRE?l'o Before me this d-2-M� o 20 f
�� -- Signature of Notary Public