1820 LIVE OAK LN - ELECTRIC r �` ,
. CITY OF ATLANTIC BEACH
t. ^"_- 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-1468
Job Type: ELECTRIC ONLY
Description: Panel Change
Estimated Value:
Issue Date: 6/23/2015
Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 1820 LIVE OAK LN
RE Number: 172020-0742
PROPERTY OWNER:
Name: SCOTT, JOSEPH & MARSHA. *
Address: 1820 LIVE OAK LN
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ig. e L i Vt t° OCR--\C I . le- PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS'gad AMPS VOLTS ( PHASE
VALUE OF WORK$ 9D dD, of
NEW SERVICE ❑ Overhead Ili Underground nJ Underground up Pole
[]Residential (Main) Service
00-100 amps D101-150amps 0151-200amps 0 amps # of Meters
`',Commercial (Main) Service .-o
00-100 amps 0101-150amps D151-200amps 0 amps OCT Service amps
Conductor Type Size
[]Multi-Family(Main) Service
00-100 amps 0101-150amps D151-200amps 0 amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0100 amps D 1 SOamps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100ainips • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
AIC Circuits: 0-60aws 61-100amps
I feat Circuits: # circuits @' kw
Number of Lighting Outlet, Including Fixtures:
OTHER ELECTRICAL PROJECTS
CSwiniming Pool 0 Sign DSmoke Detectors Qty []Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection ,anel Change DOH to UG
0Other:
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.
Property Owners Name=0(—) cCCft Ph ne Numbe�C—TL
Electrical Compan IM t 4 C TiCC- CrYlklr( l t>ce Phone 24 ..-qc6( Fax
Co. Address: 1 - -•1. . L° City Al LiAt IC_ to k`1 Ztp
License Holder Print : i_!_� . _ _ IA�11��t State Certificatio8 e is50 t��i 29(j
Notarized ' ° igi `�aaPa F a L I, �,,�'
•
‘01 t My Commissron EE 884631 �/ ��J 20
„n Expires 03/17/2017 Before �Ze this � da 1.
C' •. ) 1 '
Signature of Notary Public C a 1