5810 Fleet Landing Blvd ERES19-0092 Add Fixtures SCANWff RICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0092
o8005EMINOLE ROAD ISSUED: 3/20/2019
Date: _2d–/ 9.—__ EXPIRES:9/16/2019
ATLANTIC BEACH. FL 32233
MUST CALL
Y 4 PM FOR NEXT DAY INSPECTION.
ALL • • INSPECTION• • • • • • • r OF • • • • BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
r
TICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
t may be found in the public records of this county,and there may be additional permits required from other
ernmental entities such as water management districts,state agencies,or federal agencies.
• . • • r . r • • WORK:
1 FLEET LANDING BV ELECTRICAL RESIDENTIAL 15810FIeet Landing Blvd -add $2200.00
outlets,fixtures
TYPE • BUILDINGSUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:•
169397 0200 SECTION LAND
COMPANY: ADDRESS:
BARKOSKIE ELECTRICAL JACKSONVILLE FL 32250
SERVICE 953 Shetter Ave BEACH
• 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
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 CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
—71
FEES
DESCRIPTION ACCOUNT I QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000322-1000 0 $5.00
ELEC HEAT 455-0000322-1000 1 0 $800
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-3221000 1 8 $480
Issued Date:3/20/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0092
800 SEMINOLE ROAD ISSUED: 3/20/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 9/16/2019
ELEC SWITCH AND RECEPTACLE OUTLETS 1 45 322-1030 0 $3.0
ELECTRICAL BASE FEE 4550006322-1000 0 $55.00
STATE DEPR SURCHARGE 455-0006208-0T00 0 $2m
STATE DCASURCHARGE 455-0006208-0600 0 $2.00
TOTAL:$80.40
Issued Date:3/20/2019 2 of 2
1i,LECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: ,�B/O /�7 Z,Q„t,) "t4 /5z-
PERMIT#
.IEA INFORMATION REQUHIED ON ALL P
ERMITS 1t2 AMPS Z,1fl VOLTS / PHASE
VALUEOFIVORHS ZZGna%'
NEW SERVICE ❑ Overhead
OResidential(Main)Serviee El Underground 0Underground ap Pole
00-100 amps 0101-150amps ❑151-200am s
❑Commercial(Main)Service p ❑--.amps #of Metars
00-1 00 amps 0101-150amps 0151-200em s
Conductor Type__ Sim p 0--amps OCT Service amps
❑MvHi-Faudiy(Main)Serviee
00-100smps 0101-150amps 0751-200am
OTemporary pole ❑ atnps ps ❑ amps #of Unit Meters_
SERVICE UPGRADE ❑
---_emPs ❑CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200am s ❑
---
psrnPs OCT Serviceamps
ADDrfIONS,REMODELS,REPAIRS,BUUX OUTS,ACCESSORY STRUCTURES,ETC.
Outlewsvritches: _(.00-30am s
Appliances: 0-30arn s --31-100ampsA/C 101-101
Heart
Circuits: �0-60amps --61-100amps —101-200amps
Heat Circuits: #circuits(ifkw P
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwtmmmgpOOl ❑ Sign ❑Smoke Dehsctors_Qty ❑Transformers
KVA OMotors h
FIRE ALARM SYSTEM (Requires 3 sets of plans) p
QtY_volts/amps
vAZVE OF n'Ol[S b
REPAIRSIMLSCELLANEOUS
O0ther. HutuNDamaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
OOdrer:
Permit becomes raid n work does not commence within a six month period or work is suspended or abmidoaed for six months. I It certi{y.lryst I have
reetl this app0ILThaMgit tithe not
'rect. An provisions of laws and ordinances governing this work will be complied1 whether
speei5ed or not. The permit does not give audrodtyro violate the provisions of my other state or local law regulation eonstrucrionorthep with na of
conshucdan.
Property Ownem Name� LEET lh�1Dr N ft �C,C'�
Phone Number 7-4ti 99D0
Electrical Company c .�
IE L�itt CTfZI �
�' "Il' L t Office Phone 2-41,4751 peXy�f7
Co.Address: 3 /. /�
License Holder City &04 State�Zip 32 'sy
(Print): .� .t25 4 State Certification/Registraon#/3oo2387
Notarized Signature efLicense Hold
$"iJ ., nraear a+.eaeaa Beforeme this
n!marr remm-s;xa o+r:onns o E� ✓rV� 20 l �
"."' , 't 'fix cam,t of glres Jan sLzats - Signature of Notary Public - eQ- F
}��9aaM mlow@r&5onc'kwyAx.�. /d'( ✓^�{6-r+L