5405 Capella Ct ERES19-0266 Main Breaker Replacement ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
t CITY OF ATLANTIC BEACH ERES19-0266
800 SEMINOLE ROAD
ISSUED: 9/19/2019
�W09 ATLANTIC BEACH. FL 32233 EXPIRES: 3/17/2020
MUST CALL INSPECTION • • • 1 + 247-5814 BY + PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' iBUILDING
CODE, NEC, IPMC, • i CITY OF ATLANTIC BEACH CODEOF 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:
5405 CAPELLA CT ELECTRICAL RESIDENTIAL MAIN BREAKER REPLACE $300.00
TYPE OF BUILDING
• • GROUP:
169397 0200 SECTION LAND
COMPANY: ADDRESS:
BARKOSKIE ELECTRICAL 953 Shetter Ave JACKSONVILLE FL 32250
SERVICE BEACH
• ADDRESS: CITY: STATE:
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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 $2.00
Issued Date:9/19/2019 1 of 2
Electrical Permit Application
**ALL INFORMATION
HIGHLIGHTED IN
J }'' City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (9044)) 2477-5826 Email: Building-Dept@coab,US PERMIT#:
10B ADDRESS: Srf a rJ l '�'�-�-� �T'• PROJECT VALUE$ 3 Ca
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS Z4(DVOLTS PHASE
❑ NEW SERVICE: ❑Overhead ®Underground []Underground up Pole
Mesidential(Main)Service:
p0-100 amps 0101-150amps [1151-200amps [L amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps 13151-200amps [_amps ❑CT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps 0101-150amps C]151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE:❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100 amps ❑150amps []200amps ❑ amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 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:
OTHER ELECTRICAL PROJECTS:
[]Swimming Pool❑Sign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety inspection ❑Panel Change []OH to UG
Updated 10/17/18
CCC M Rki rs
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. ' A ` , ` 04t-9 9 DD
Owner Name: 1_1- 1 lit�Gc NCC 2� Phone Number:
Electrical Company: Barkoskie Electric Service Office Phone: (904)246-4731 Fax:(904)24MO17
Co.Address: 953 Shetter Avenue City: Jacksonville Beach State: FL Zip: 32250
License Holder: James Hu hes State Certification/Registration#: EC13002387
Notarized Signature of License Hold "a- F
The foregoing instrument was acknowledged before me this 2rday of j,� J-i6• ,20fff in the State of Florida,County of
lue' MIWMA.May Signatu a of Notary Public
Commission i GG14910 1ej
A = Expims: July 24, 2020 r,�ersonally Known OR [ ] Produced Id ratification
Type of Identification:
•iu `��` Bonded thN�rOn Notxy YP