1175 ATLATLANTIC BLVD - ELECTRIC NEW UNDERGROUND SERVICE 1---
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* CITY OF ATLANTIC BEACH
f-- _ _ �� 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-1682
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW UNDERGROUND SERVICE
Estimated Value: $16,500.00
Issue Date: 7/15/2015
Expiration Date: 1/11/2016
PROPERTY ADDRESS:
Address: 1175 ATLANTIC BLVD
RE Number: 170709-0000
PROPERTY OWNER:
Name: ROBBINS NEST FARMS LLC. *
Address: 1560 SELVA MARINA DR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 ► 5 -EL€C `1 Co BE,
Ph(904)247-5826 ax (9,0 4247-5845
SOB ADDRESS: � \ 15 HC- r f c I
PERMIT#
YEA LNFORMATION REQUIRED ON ALL PERMITS 3(91) AMPS 4(X VOLTS / PHASE
VALUE OF WORK / 15&0 ' °)
NEW SERVICE ❑ Overhead Underground I 11 Underground up Pole
OResidential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps # of Meters
C:Commercial (Main) Service
00-100 amps 0101-150am s 0151-200amps 'Damps OCT Service amps
Conductor Type 77i /7- C-LI Size 350 /Y1 C14
0Multi-Family(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
1100 amps OISOamps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODEL,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7-j 0-30amps . 31-100amps • 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
. A/C Circuits: •: 0-60aws 6.1-100amps
Heat Circuits: # circuits @ . kw
Number of Lighting Outlet,Including Fixtures: Z
OTHER ELECTRICAL PROJECTS
0Swimming Pool 0 Sign OSmoke Detectors_Qty OTransformers ICVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
UReplace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change OOH to UG -
Other: '" V/3 14w vat g uri%W-
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 ripplication 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. r
Property Owners Name(Ii' A Yryis ne Number
Electrical CompanyLl YYII�Ct.l Phone 241—G US Fax
Co. Address: -2 l 1l -E" tt') `,'k--r-e'e City IG.tI+iC 'eGC- ate-PLZiW22J1•
License Holder (Print):/cIe.iXS• \ 1 'I, t... il►1 State Certificatio 002 96
A'otariz•• .. _ • ■ : _, , ,. . 1�'-A LI!A'
I �r
fo1"°�. Notary Public State a Florida a � _ 20
y Barbara Kaye Kennell$efo me this
70,$040 Expir s 03/17/2017 884631 - .I �
S.! .ture of Notary Public _ . _ .—