109 OCEAN GATE DR - ELECTRIC �� Y �;i CITY OF ATLANTIC BEACH
A is‘
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-1469
Job Type: ELECTRIC ONLY
Description: New service 150 amps
Estimated Value:
Issue Date: 6/23/2015
Expiration Date: 12/20/2015
PROPERTY ADDRESS:
Address: 109 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: $119.00
PERIWIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5 j aax (904) 247-5845 1,5-5 FA 1
O 1-C--:, ' I �� PERMIT# k Z 3q
JOB ADDRESS: Ccn
JEA INFORMATION REQUIRED ON ALL PERMITS 150 AMTS o2,44-&bLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground I v Underground up Pole
OResidential(Main) Servile
00-100 amps Q-1 1-150amps 0151-200amps 0 amps # of Meters
"Commercial (Main) Service .=
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 0 amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps . 31-100aitxps - 101-200amps
Appliances: 0-30amps 31-100amps •. 101-200amps
A/C Circuits: 0-60atiips 6.l-100amps
Heat Circuits: # circuits g. kw
Number of Lighting Outlet,Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimming Pool 0 Sign OSmoke Detectors_Qty OTransformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK s
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change DOH to UG
iler: I1 3 . " 1 _ It _11 ii-h ISO Gc • (Y(► n On - r
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
• • 1 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 1 , i• I C f • one Numberc,24 k— 12 22—
Electrical Company\Nl r(1 tct,U Eetr I CCJ hone,„,2`+1-ci�t Fax
Co. Address:
WI_ Dc-v 9-reee city Aticini-cc- -eC tateFL-ZiPzz
Q It State Certification/R t
• -.-iu }?_296
License Holds �o• .r. . . . Fl.na. s ��►.
:a .ara • .. �� I ��,�1���
Notarized S . /O Jr Ir 1ner'A• ' ter--
Before me this , j( e.,f 20 J
Signature of Notary Public, AA Lt0--k CD lc . ••