1795 Mayport Rd 2015 Temp Pole � 'rte - CITY OF ATLANTIC BEAC '
J
_ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-402
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 2/24/2015
Expiration Date: 8/23/2015
PROPERTY ADDRESS:
Address: 1795 MAYPORT RD
RE Number: 172056-0000
PROPERTY OWNER:
Name: PRITCHETT, JAMES R & AMY E,
Address: 301 3RD ST SUITE A
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
Temporary Electrical Service $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
q 6--1 800 Seminole Rd, Atlantic Beach, FL 32233
r (� Ph (904) 247-5826 Fax (904) 247-5845
-1,
,SOB ADDRESS: �*�"-' I � `� PERMIT #
J-EA INFORMATION REQUIRED ON ALL PERMITSJX_AMPS Zcto VOLTS PHASE
VALUE OF WORK S
NEW SERVI Mea ❑ Underground ❑J Underground up Pole
CResid 1 ial aqe %
00-1 0 amp 0101-150amps 0151-200amps ❑ amps # of Meters
CCommercial(Main) Service
ii0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service at
Conductor Type Size
PMulti-Family (Main) Service
❑0 00 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
r emporary Pole IlleO amps
SEIIV ICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES,ETC.)
7100 amps ❑150amps 0200amps w Q amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100'MRps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60'+%P.s 6.1-100amps
Heat Circuits: # circuits & kw
Number of Lighting Outl*t Including Fixtures:
I_t'I'HER ELECTRICAL PROJECTS
i_]Swirm
ning Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers (CVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE DF WORK S
Qty volts/amps
1411,M RS/MISCELLANEOUS
;Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
l:i0ther:
I'emtit becomes=void work does not commence within a six month period or work is suspended or abandoned for six moriths. 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
;pacified 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
cunstnution. ��_ 12
Property Owners Name L
-�( PhQne Number
Electrical Compan}� —_
� h City tPC�. ` �Zip
Co. Address: � Z 3002296
sc f State Certification/Registra # ___
License E Ir +l' it _
8 rb
M i551on EE 884631
C
d�;=vs-e Folder
Before me this ay of 20
Signature of Notary Public -- -