105 Fleet Landing Blvd ERES19-0159 6 Outlets ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0159
ISSUED: 5/30/2019
800 SEMINOLE ROAD EXPIRES: 11/26/2019
•r v ATLANTIC BEACH. FL 32233
ALL • . MUST • • • . fTI TO • • • r • • • • •
CODE, • CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
F
ICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
may be found in the public records of this county,and there may be additional permits required from other
rnmental entities such as water management districts,state agencies,or federal agencies.
JOBADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WOR
105 FLEET LANDING BV ELECTRICAL RESIDENTIAL 6 OUTLETS $2300.00
ZONING:TYPE OF REALESTATE BUILDINGSUBDIVISION:SE
CONSTRUCTION: NUMBER: GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS:
BARKOSKIE ELECTRICALJACKSONVILLE FL 32250
SERVICE 953 Shelter Ave BEACH
OWNER: 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 CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
PTION ACCOUNT QUANTITY PAID AMOUNT
DESCRI
ELEC AIR CONDITIONING CIRCUITS
4550000-322-1000 0 $060
FLED LIGHTING OUTLETS,
INCLUDING FIXTURES 455-0000-322-1000 16 $9.60
ELECTRICAL BASE FEE 4550000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-"0-208-0700 0
Issued Date:5/30/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
A
CITY OF ATLANTIC BEACH ERES19-0159
800 SEMINOLE ROAD ISSUED:S/30/2019
�tv ATLANTIC BEACH, FL 32233 EXPIRES: 11/26/2019
STATE DCA SURCHAflGE 055-Wp0.208-06p0 p 5��
TOTAL:S68 6O
Issued Date:5/30/2019 2 of 2
May2919,01:16P barkoskie electric 9042498017 P.1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
SDO Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247.5926 Fax (904)247-5845
JOB ADDRESS: / fJ S %. t�2� a ✓G tawy, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �.J U AMPS VOLTS PHASE
u�
VALUE OF WORKS ?.500 '
NEWSERVICE ❑ Overhead ❑ Underground DUndergmandup Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 71-amps #of Meters_
OCommercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps OCTServint amps
Conductor Type Sine .
❑Multi-Family(Main)Service _
❑0.100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Maters
OTemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
3100 amps ❑150amps 0200amps ❑ amps CCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,LTC.
Outlets/Switches: &_0-30amps 31-100111TIps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits Q kw - -
Number of Lighting Outlets, Including Fixtures: / (o
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectms_Qty ❑Transformers KVA ❑Motors—IW
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/atnps 4ALUS OF WORK S
REPAIRSIMISCEL t 4NEOUS
❑Replace BumtVamaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other. 11111111011
Pemill becomes void if work don not cormnence within a su:month period or works suspended or abandoned fors& o lhs. i hercb- Nfy that I have
read this application and know the Saone to be true and conecL 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 aw provisions ofany other state or local law regulation coostructian or the performance of
construction.
�i L S,rf'D 1V, - N ILLI Iz� Phone Number ?FFG -r79�
Property Owners N�ame yrr.'�T
Electrical Company,5NW05KrE Viefale Office Phone�?i" la '�'�3y Fax �'g- I
Co.Address:
'3 S ='� fl+�� City �.aera Stahe6—ZipL3 Z-So
License Holder(Print): J �s � State Certifrcafion/Registmtion�/3r Z,513
Nofarvzed Signature oflicense Aold
n'" vt 20 i $
nLseat ws=.iso Before me this o f: /
{"pY, <afi ^-etre'V:4`Iie c a iAr:Cn frr�?/F/d'f Vt`al�l'rN
SignaturgeofNotaryPubli