777 VECUNA RD ELECTRIC rj i�LJrlc�
CITY OF ATLANTIC BEACH
F 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:
lob ID: 15-ELEC-1233
Job Type: ELECTRIC ONLY
Description: 17 OUTLETS/SWITCHES
Estimated Value:
Issue Date: 5/26/2015
Expiration Date: 11/22/2015
PROPERTY ADDRESS:
Address: 777 VECUNA RD
RE Number: 171327-0000
PROPERTY OWNER:
Name: CASTLE CORP OF JAX
Address: P O BOX 50859
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST OA ALEX S. LIMBAUGH
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Switch Outlets $10.20
Trade Permit Base Fee $55.00
Total Payments: $69.20
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 Is-
Ph(904)247-58 Fax(9041)247-5845 C
JOB ADDRESS: 1 V ��,i I'lln�C� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE (gyp J
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main) Service
E10-100 amps 0101-150amps ❑151-200amps ❑ amps of Meters_
CCommercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
cia00 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters_
lporary Pole ❑amps
SERVICE UPGRADE ❑ amps 0 C Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps ❑150amps ❑200amps ❑ amps OCT Serviceamps
ADDITIONS,REMODEL"lEPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) yAL UE OF-WORK$
Qty_volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection - ❑Panel Change OOH to UG
❑Other: _
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[h t I h
ave
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 VhgaNumber
N ber
Electrical Company
[— i ehone OJ IFax
I'
I fi }h City e EL Zi 7��
Co. Address:
License Holder(Print): l a I . t ,CCX 1 State Certification/Re - 02_#
Notarized r _ 1 ��C (J
acuw nnac srm it Fl°Ma 20__I__-_
>� 9arbara Kaye Kari�q'fOre- �e this 7 �n
8 MY Commluba EE mwat
�orW` E><oYeipy1R01 ,�e of Notary Public ��l� l� Jt ( � � o� AO