121 OCEAN GATE DR - ELECTRIC f-
CITY OF ATLANTIC BEACH
_ ,,2'
J' 800 SEMINOLE ROAD
j 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-1472
Job Type: ELECTRIC ONLY
Description: New 150 amp Service
Estimated Value:
Issue Date: 6/23/2015
Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 121 OCEAN GATE DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $60.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
I � CrCLr\Ph(904 47--5826 FFax (904) 247-5845 JOB ADDRESS: L 2i IL.. NV(' PERMIT# 5�1 ELI.5
YEA LNFORMATION REQUIRED ON ALL PERMITS 16) AMPS C`�I NOLTS I PHASE
VALUE OF WORK$ pZ. (JO C
NEW SERVICE ❑ Overhead Underground 01 Underground up Pole
OResidential (Main) Se ce
00-100 amps 01-150amps 0151-200amps 0 amps # of Meters
LCommercial(Main) Service .1.
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps O amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps . 31-100antips • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: -.: 0-60aws 6.1-100amps
1-feat Circuits: # circuits @' kw
Number of Lighting Outlet,Including Fixtures: •
OTHER ELECTRICAL PROJECTS
0Swimming Pool 0 Sign OSmoke Detectors_Qty OTransformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
UReplace Burnt/Damaged Meter Can 0Safety Inspection °Panel Change OOH to UG
Other: IPA e• 4 almost _ . . 4-t a WI h ISO A 1 n Or' CC h
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mouths 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.
bbl �� �-� a��
Property Owners Natne Ph ne Number
Electrical Company m ,(-,l 1- tCS�1 Y1C(-, +r ice Phone 1—g-1 061 Fax
I-} Z -�h !ref CityP- 1611 ate Zipp2L3�
Co. Address: _. ��� �
License Holder Print : A t-eiX '- Li A i.. it State Certification/RegiE ins002296
of i i t er mop...
a ra y e � �
My Commission EE 884831 20
i. Or Expires 03/17/2017 : -fore Me this I Il e.a• ' I
Signature of Notary Public /) , ' (j(j<D C . f,_s__C3