1303 Ocean Blvd 2015 elec . .... ...... .............. .
CITY OF ATLANTIC BEACH
J N 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 15-ELEC-171
Job Type: ELECTRIC ONLY
Description: REPLACE EYEBOLT
Estimated Value:
Issue Date: 1/23/2015
Expiration Date: 7/22/2015
PROPERTY ADDRESS:
Address: 1303 OCEAN BLVD
RE Number: 171835-0000
PROPERTY OWNER:
Name: PRIDGEN LIFE ESTATE, MARIAN S,
Address: 1303 OCEAN BLVD C/O DAVID M PRIDGEN
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 THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOE ADDRESS: PERMIT #
JFA INFORMATION REQUIRED ON ALL PERMITS AMPS 2W VOLTS PHASE
VALUE OF WORKS 3 S d • o�2
NENN SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
CCResidential (Main) Service
0 0-100 amps 0101-150amps 0151-200amps ❑ amps # of Meters
❑Commercial(Main) Service .
d
00-100 amps ❑101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
PMulti-Family(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps # of Unit Meters
DITemporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
_7100 amps 0150amps 0200amps-� amps OCT Service amps
ki)DITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100atWs 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60w%Ps 6.1-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outl* 'Including Fixtures:
t:1"l'HER ELECTRICAL PROJECTS
[ iSwinuninc,Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE, ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE SOF GVORK S
lZ 'l`. llZS/MISCELLANEOUS
I iReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
i
77
uriT
i�ther: � —O✓pG� �jk/� --- —
fermi[becomes void if work does not commence within a six month period or work is suspended or abandoned for six moths. 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 Name--Cbv iC Phgne Numbec2-4(s
Electrical Company 1 1 (� hone -gCSI Fax .- --
Co. Address: �2 lCity Zt1
State Certification/Registration_+ z �
l_,icense lJolder Print : -- —
NR P tate a
F3'a�
M
EMy xpires 03/771201ion 7 664631 20 —
p o e Ze th4.� day of
Signature of Notary Public '. -- --