1175 ATLANTIC BLVD FARMHOUSE - ELECTRICAL s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
_ ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1175
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - AT FARMHOUSE , NEW SERVICE
Estimated Value: $2,000.00
Issue Date: 5/20/2016
Expiration Date: 11/16/2016
PROPERTY ADDRESS:
Address: 1175 ATLANTIC BLVD
RE Number: 170709-0000
4
PROPERTY OWNER:
Name: ROBBINS NEST FARMS LLC,
Address:
GENERAL CONTRACTOR INFO
1560 SELVA MARINA DR
RMATION:
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
New Commercial Electrical $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION ( ( '–EL EC---1 175
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 r0..r-,.Y\ bpvs e___
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: j (1 ( 1 �C i I (/ 'Ivd PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 00 AMPS I"aO/J'f L/VOLTS I PHASE
VALUE OF WORK$ a)OO O
NEW SERVICE ❑ Overhead n Underground TT Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 01151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0 101-150amps 01151-200amps D amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps D 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps ❑150amps0amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 35 0-30amps 1 31-100amps 101-200amps
Appliances: H 0-30amps I 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: ', # circuits @ R kw
Number of Lighting Outlets, Including Fixtures: '38
OTHER ELECTRICAL PROJECTS �
❑Swimming Pool iii Sign 0 Smoke Detectors_Qty Li Transformers KVA �'IGlotors 2 hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ 3'O, 000 ,Oct
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
DOther:
'ennit 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
tad 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
pecified 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
onstruction. ^
'roperty Owners Name �—t� ` 1-1 S Phone Number —I 59 - (--R( 2_
:lectrical Company U or) U d-« CcJ Lmi-1(694FW.1 2` «-q0 �ax
o. Address: 1 Z S %.‘r' 11 Si We City Ai-(re.IiziG �4`5 1� 4e� �ip 3 r3
icense Holder (Print): Pa i'�� • , State Certificatior'Ge�i�t d 96
Totarized �/ 101":∎4i
ItNotary Public State of Florida 1 - 1 ('� � �
. Barbara Kaye Kennel'eforc ne this g_ J fa • �'`'��.�--�" 20 I fir
My Commission EE 884631 V
a,. Exrires 03/17/2017 i 4,11a'. re of Notary Public C _ ._C___,I� C . ' '