201 MAYPORT RD 2015 TEMP POLE , CITY OF ATLANTIC BEACH
yy 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J i Dim'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-437
Job Type: ELECTRIC ONLY
Description: TEMP POLE 200AMPS 240 VOLTS 1 PH
Estimated Value:
Issue Date: 2/27/2015
Expiration Date: 8/26/2015
PROPERTY ADDRESS:
Address: 201 MAYPORT RD MAIN
RE Number: 177649-0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 797 MAYPORT RD
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
800 Seminole Rd, Atlantic Beach, FL 32233 ��
Ph(904) 247-5826 Fax 904) 247-5845 ( C G
PERMIT#
JOB ADDRESS: ( (�
AMPS �OVOLTS
JEA INFORMATION REQUIRED ON ALL PERMITS
G PHASE
VALUE OF WORKS IS 042 o
Under [�Underground up Pole
NEW SERVICE ❑ Overhead F-1Undergroundg
❑Residential(Main) Service # of Meters
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps
❑Commercial (Main) Service s OCT Service amps
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps
Conductor Type Size
❑Multi-Family(Main) Service # of Unit Meters
00-100 amps 0101-150amps 0151-200amps ❑ amps
!1dlemporaryPole 0(b&-O amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURE,SS,ETC.) OCT Service amps
❑100 amps ❑150amps 0200amps ❑ P
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETOa ps C.
Outlets/Switches: 0-3 Damps 31-l 00amps
tn
31-100as 7 101-200amps
Appliances: 0-30atnps 61-100amps
A/C Circuits: 0-60amps kw p
Heat Circuits: # circuits @
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROSE CTS
❑Transformers KVA ❑Motors hp
USwimming Pool ❑ Sign ❑Smoke Detectors—Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
,–'Other:
Permit becd or
wao�omes void if work does not commence x mo
Wnd�correna ictmAlltp provisions of laws and ordinan— work is suspended ces governing this r abandoned for �work nw ll be complied withfy lwhether
at I e
read this application and know the same to be true a
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 o
construction. ,' �c ` ( 2 C)
�1 � H
Gb-� '� Phone Number
Property Owners Name
t • C_ � Fax
Phone 2�+1-G C
Electrical Company ate �( Zif'�Z
�-1Ir233
h City n
Co. Address: 2nn-�7 4Fi
State Certification/Registrat�
License Holder (Print):
,Watarize S• .r ' r�a ` c� e fie ff
My Commission EE 884631 I day of _ �'� 20 1
Expires 0311712017 e me this
or IV
Signature of Notary Public ��