517 BEACH AVE - ELECTRIC 01—tvi-rie,
CITY OF ATLANTIC BEACH
A .,
. 0 800 SEMINOLE ROAD
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karilt.* 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-1518
Job Type: ELECTRIC ONLY
Description: replace burnt meter lugs
Estimated Value:
Issue Date: 6/25/2015
Expiration Date: 12/22/2015
PROPERTY ADDRESS:
Address: 517 BEACH AVE
RE Number: 170152-0000
PROPERTY OWNER:
Name: SNYDER, JANICE H
Address: 517 BEACH AVE
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: $94.00
. ,. -.,....
7
I'ER.IIT IS APPROVED ONLY IN ACCORDANCE WITH All, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 24,7-- 826 Fax (904) 247-5845
JOB ADDRESS: ej ?Jeach C,L.L-'e PERMIT#
SEA LNFORMATION REQUIRED ON ALL PERMITS 2-O° AMPS act°VOLTS I PHASE
,�� VALUE OF WORK$
NEW SERVICE L"J Overhead ❑ Underground I 11 Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0151-200amps 0 amps # of Meters
"Commercial (Main) Service . .
D0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amp
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 ❑ amps O CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps O200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps . 31-100anxps • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: v: 0-60aws 6.1-100amps
Heat Circuits: # circuits g'. kw
Number of Lighting Outlet,,Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty OTransformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can 0Safety Inspection • ❑Panel Change OOH to UG
hey: (,L('e- frt- ltier I i r- '
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 havt
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.
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Property Owners Name ��,,� i�'� cqdtir � � Phone Number(
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Company • At a•�� _ I ( e i(6`L t • flee Phone 2-(-1 t—CtOS t Fax
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Co. Address:142 St �{h A rte'€" City A t IGM iC. CC5tate r t ZiiSj22'3`3
Lice . • • ' • . . ritiA%1i -X emu, . State
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Certifcatio to 1 J
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Not, ..!0 N a Pm a r S - 'Io.i er 111111911 a •
°'"d Expires 03/17!2017 ir .a L � 20 z �fore nie this s .Signature of Notary Public U ■a— tom--
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