1 Fleet Landing Blvd. ERES19-0092 add outlets, fixtures X5,„1"� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J,. _ � ERES19-0092
�� CITY OF ATLANTIC BEACH ISSUED: 3/20/2019
800 SEMINOLE ROAD
- `0.1 " ATLANTIC BEACH. FL 32233 EXPIRES: 9/16/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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:
1 FLEET LANDING BV ELECTRICAL RESIDENTIAL 5810FIeet Landing Blvd -add
outlets, fixtures $2200.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS: CITY: STATE: ZIP:
BARKOSKIE ELECTRICAL JACKSONVILLE
953 Shetter Ave FL 32250
SERVICE BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
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
1COMMENCEMENT 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 CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC HEAT 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 8 $4.80
Issued Date: 3/20/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
is-') CITY OF ATLANTIC BEACH ERES19-0092
'air 800 SEMINOLE ROAD ISSUED: 3/20/2019
��`' �` ATLANTIC BEACH. FL 32233 EXPIRES: 9/16/2019
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$80.40
Issued Date:3/20/2019 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 247-5845 E ek 3 -ooc-o.
-
JOB ADDRESS: ... ') D if—EC/ L4 °/^I4 /5— v 00 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS /6V AMPS 2-4° VOLTS / PHASE
0
VALUE OF WORK S Z7a) -
NEW SERVICE I I Overhead E Underground EJ Underground up Pole
❑Residential(Main) Service
[10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0 101-150amps ❑151-200amps ii amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps C 150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 40 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: ( 0-60amps 61-100amps
Heat Circuits: / # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 8
OTHER ELECTRICAL PROJECTS
❑Swimming Pool 0 Sign 0 Smoke Detectors Qty ❑Transfonners KVA LMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can OSafety Inspection OPanel Change DOH to UG
DOther:
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. 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 `-'"^`".1 b ^l C C.,C.-2 F Phone Number Z4(4° "`2C7
Electrical Company 1.<05 K IE g--E-C---Tret e Office Phone Z4 / 73/ Fax `?69t 7
R,j S S ETT�2 �'C CityJit—• 8e-1-1 State r Zip 32-2--,SVCo.Address:
C
License Holder (Print): i,4`-t- -. ILI A State Certification/Registration#1300 Z 3 87
Notarized Signature of License Hold i( -� =` r %,��`
P- �tl, f 20 1
.,.:,,�•�:,, ALBERT 'OPE NO Before me this d o ,c,,H .v
%` HcZny Fedi::-'a:.te of ric•,I.ta • J
;:=1;;...,-,-.-ti c_ �c^�;; Signature of Notary Public �� -)\-----,-:2-Ze 'v r 2-r V---,v'6,-..c,
SaacTec tit our,•i::4ztion Notary ;.