1175 Seminole Rd elec ug 2014CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814
r1k ALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job
- -
Job Type:
ELECTRIC ONLY
Description:
UG COMMERCIAL 300AMP 240VOLTS 1 PHASE
Estimated Value:
Issue Date:
10/23/2014
Expiration Date:
4/21/2015
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:
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
New Commercial Electrical $90.00
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
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ Ph (9004) 247-5826 ax (904) 247-5845
JOB ADDRESS: / / -2 �% ,l L /�il� C �� , PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPd;a�o_ VOLTS PHASE
NEW SERVICE ❑ Overhead
❑Residential (Main) Service
❑0-100 amps ❑ 101-150amps
commercial (Main) Service
0-100 amps ❑ 101-150amps
Conductor Type
❑Multi -Family (Main) Service
00-100 amps [110 1-1 50amps
❑Temporary Pole ❑ amps
VALUE OF WORK $
A -f Underground ❑1 Underground up Pole
❑ 151-200amps ❑ amps # of Meters
❑ 151-200amps
Size
❑ 151-200amps
Qy5deamps
❑ amps
SERVICE UPGRADE []-amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑CT Service
❑ CT Service amps
# of Unit Meters
amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-3 Damps 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
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps
KVA ❑ Motors
VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can El Safety Inspection ❑Panel Change [I OH to UG
[]Other:
hp
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.
Property Owners Namg
Electrical Company
Co. Address:
License Holder (Print):
Notary Public state of Florid&
Barbara Kaye Kennelly efore me thi da
my Commission EE OU631 y
Expires 03/17/2017
ignature of Notary Public _
Phone Number
City State — Zip .223
State Certification/Registration #'07 [��ez�Ao