125 OCEAN GATE DR - ELECTRIC \�, CITY OF ATLANTIC BEACH
,� _ f
800 SEMINOLE ROAD
j }1 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
' ;i:-;-------/
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1473
Job Type: ELECTRIC ONLY
Description: New 150 amp Service
Estimated Value:
Issue Date: 6/23/2015
Expiration Date: 12/2.0/2015
PROPERTY ADDRESS:
Address: 125 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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
I r� /�,, Ph(904)x)2247-5 ax (904) 247-5845 Is 6 p:1-T- 12 e Z
JOB ADDRESS: 1�' Dear ) VG 11IC PERMIT#
SEA INFORMATION REQUIRED ON ALL PERMITS 150 AMPS ,.., 7 DOLTS I . PHASE
VALUE OF WORK$ 3 coO
NEW SERVICE ❑ Overhead (Underground FIT Underground up Pole
°Residential(Main) Se7ife
00-100 amps 01-150amps 0151-200amps ❑ amps # of Meters
',Commercial (Main) Service .-.
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
0 Multi-Family(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps # of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100atrtps • 101-200amps
Appliances: 0-30amps 31-100atnps •. 101-200amps
A/C Circuits: 0-60aws 6.1-100amps
1-feat Circuits: # circuits @' kw
Number of Lighting Outlet, Including Fixtures:
OTHER ELECTRICAL PROJECTS v
0 Swimming Pool 0 Sign 0Smoke Detectors_Qty OTransformers KVA °Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
°Replace Burnt/Damaged Meter Can OSafety Inspection . ❑Panel Change OOH to UG
Other: 0 On akar 1 _ a -,� x h it' Um riC i n on G1'1,
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.
C -tS Hb �l - 1Property Owners Name. 1 �� Ph�gne Number
Electrical CompanyUmbal,WC rlC�`- ly ' lce-Phone —gCS1 Fax
Co. Address:
L}2 ( c±h S -t City1tllfi C If&thato FA Zip 33
License Holder(Print): J \ l _ S- L iii � , State Certification/Registra �n 13002296
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Notarize• if ! urq�y.(�Ga�t�a a€�d��' �� _..v 1•.•���
ill Barbara Kaye Kennelly �j 20
iMy Commission EE emBtfor% Me this da l�-�'-�
Expires 03/17/2017 D r . v
ignature of Notary Public L C C 1