137 OCEAN GATE DR - ELECTRIC rL`Jr .
J
CITY OF ATLANTIC BEACH•,:\,,,,
=` - 800 SEMINOLE ROAD
5'101
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-1476
Job Type: ELECTRIC ONLY
Description: New 150 amp Service
Estimated Value:
Issue Date: 6/23/2015
_ Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 137 OCEAN GATE DR
RE Number: None
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
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-15826 Fax (904) 247-5845 15 5 FA-T, 125
JOB ADDRESS: l I OCGI-n C'SC�I T -100(1 \lc. PERMIT#
.YEA LNFORMATION REQUIRED ON ALL PERMITS /56 AMPS o VOLTS 7 PHASE
VALUE OF WORK$ (9_000
0
NEW SERVICE ❑ Overhead [Underground nJ Underground up Pole
❑Residential(Main) Se • e
00-100 amps 01-150amps 0151-200amps 0 amps # of Meters
C:Comnlercial (Main) Service •-�
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main) Service
00-100 amps 0101-150amps ❑151-200amps 0 amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps . 31-100arnps • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60aps 61-100amps
Heat Circuits: # circuits @ •• kw
Number of Lighting Outlets Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign 0 Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qry volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can 0 Safety Inspection �0Panel Change [ DOH to UG
❑Other: lY7 �� a- /1/4A CIO ! G It 34 WA GJv ' „/4 dii) eil
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. 1 ,.
tne
Property Owners Na tC S HCt1 T(�-1 Phone Numbe4(— 1 2Z Z
�Yrk.0 •,,>~ - ' one Z�-\—CGa�I Fax
Electrical Company V(1-11-3G-L, ❑�Y I CC�I. �2
Co. Address: L 7 LDes c Si- city 1�1orl}iC�j'f .tAt- 9 zi 2 S•
License Ho - - ' •I ' n_ _'-►. _ �#k 1.. �L,a State Certification/Reeg str ilrk# 296
No puWicStat F li fin `; .5 U
Notarized r e ri f�Rt t �' i ��,,.
`p, rz Commission EE 884631 l da �!
i„ao Expires 03/17!2017 ;efore e this LL 20
Signature of Notary Public _ a/a`Cu (D IC. .1