1175 ATLANTIC BLVD - ELECTRIC 01,1-W"
A t A
CITY OF ATLANTIC BEACH
,ss\
- •mi s.) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
.01119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1682
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW UNDERGROUND SERVICE
Estimated Value: $16,500.00
Issue Date: 7/15/2015
Expiration Date: 1/11/2016
PROPERTY ADDRESS:
Address: 1175 ATLANTIC BLVD
RE Number: 170709-0000
PROPERTY OWNER:
Name: ROBBINS NEST FARMS LLC, *
Address: 1560 SELVA MARINA DR
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND .1 I IE FLORIDA
1311ILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 5 E Le -`1 (, az.
atc,..(1-i-PPh(904)247-5826 ax (904 247-5845
SOB ADDRESS: ( \ 15 1. � 1 PERMIT#
JEA LNFORMATION REQUIRED ON ALL PERMITS 365'1.] AMPS 4(X VOLTS / PHASE
VALUE OF WORKS ///� 0 ,
NEW SERVICE ❑ Overhead ! Underground O1 Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps # of Meters
"Commercial (Main) Service .=t^
00-100 amps ❑101-150am s, 0151-200amps amps OCT Service amps
Conductor Type 77-44//q— (-(/ Size 350 424/1
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps # of Unit Meters
• ❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
t 100 amps 0150amps D200amps 0 amps OCT Service amps
ADDITIONS,REMODEL,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7-/ 0-30amps . 31-100aitxps . 101-200amps
Appliances: 0-30amps 31-100amps •. 101-200amps
A/C Circuits: •,: 0-60a elps 6.1-100amps
1-feat Circuits: # circuits @... kw,
Number of Lighting Outlets Including Fixtures:
OTHER ELECTRICAL PROJECTS
0Swimming Pool 0 Sign 0Smoke Detectors_Qty OTransformers ICVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps - VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change OOH to UG
Other: 3 Ottp 24)U!>lea laa(p ofar6W-
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. r
Property Owners Name( 1 t FCC(YY1 S Pine Number
Electrical CompanyL YY) t.l l..(1 Fke1 Y 1CC..A Ca`"6-ctift Phone 24 1r-4 OS l Fax
Address: 4Z l A�S-� n Sk-rt.€ City AA talk iCfGC ate l_Zi223-S
Co. .
k*AEI��l ► State Certificatio
License Holder (Print):1�ifAc. \ 1 a 1 0�9 L96
Notariz,; . • , . ' :, , s.• _ uta
"I
4 State of orida I !sr�
Barbara Notary Kaye Public KenneFlll$efO me this 'a _ - - 20 1 S
off` pCreosmorn3i/ssvioi2n0E17E
17 884631 ✓ � l
S'! tune of Notary Public - .a:Cs(A)1 C _ 11"V� t.x L