1769 Beach Ave 2014 elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
rj ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-28
Job Type: ELECTRIC ONLY
Description: switches/outlets
Estimated Value:
Issue Date: 9/17/2014
Expiration Date: 3/16/2015
PROPERTY ADDRESS:
Address: 1769 BEACH AVE
RE Number: 169674-0000
PROPERTY OWNER:
Name: COUGHLIN, THOMAS R & JUDITH A,
Address: PO BOX 330306
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address:
Phone: - -
FEES:
State Elec DBPR Surcharge
Total Payments: $2.00
State Elec DCA Surcharge
Total Payments: $2.00
Lighting Outlets, Including Fixtures
Total Payments: $5.40
Trade Permit Base Fee
Total Payments: $55.00
Total Payments: $64.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
h (904) 247-5Faxx (904) 247-5845
SOB ADDADDRESS: '1
,U6 Fax
PERMIT #
KA INFORMATION REQUIRED ON ALL PERMITS ,6D AMPS 2VLO VOLTS ` PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
CResidential (Main) Service # of Meters
00-100 amps ❑101-150amps 0151-200amps ❑ amPs
CCommercial(Main) Service ❑151-200am s ❑ amps OCT Service amps
❑0-100 amps 0101-150amps P
Conductor Type Size
riMulti-Family (Main) Service s # of Unit Meters
❑0-100 amps 0101-150amps ❑]51-200amps ❑ amP —
r-ITemporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY'STFa RUCTURES,ETC.)
7100 amps 0150amps 0200ampsC1 amps OCT Service amps
ADDITIONS, REMODELS REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30am31-1001 �,s 101-200ampsps � • 101-200amps
Appliances: 0-30amps 31-100amps
A/C Circuits: 0-611�14ps 6.1-100amps
Heat Circuits: # circuits kw
Number of Lighting Out* Including Fixtures:
t-f'1 HER ELECTRICAL PROJECTS ❑Transforers KVA ❑Motors 11P
1.1Sw/imming Pool ❑ Sign ❑Smoke Detectors_Qty m
FIRE ALAI:M SYSTEM (Requires 3 sets of plans) VALUE DF WORK
Qty volts/amps
REPA 1_RS/MISCELLANEOUS
❑Safety Inspection ❑Panel Change DOH to UG
;Replace Burnt/Damaged Meter Can
other: y✓
Permit becomes void if work does not commence within a six month period or w laws and orddi ed or goveoni g thise for 'workawhlI be complied wf t tlwhether e
read this application and know the same to be true and correct. All provisions
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.
I ' PhQne Number
property Owners Naine
( j Tice Phoned C- Fax _
Electrical Company �h 3
City Aiyi-ic to e Zt -
Co. ,Address:
State Certification/Re i 229 --
License Holder ( rtet
•te'• Yarbara aye Kennelly
•Si,d dL�l LESc igs'g=&631 f
e ore me zis�_day
Signature of Notary Public �- -