1330 Ocean Boulevard ELECTRIC . „Jr,- ' �i 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
7OB INFORMATION:
Job ID: 15-ELEC-1702
Job Type: ELECTRIC ONLY
Description: ELEC REPAIRS RELOCATE BOXES
Estimated Value:
Issue Date: 7/16/2015
Expiration Date: 1/12/2016
PROPERTY ADDRESS:
Address: 1330 OCEAN BLVD
RE Number: 171847-0000
PROPERTY OWNER:
Name: PALEY. SEAN & ALICIA. *
Address: 1330 OCEAN BLVD
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: $94.00
•
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph 904) 247-5826 Fax (904) 47-5845
JOB ADDRESS: l?_O C C can 7� d PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS (a-P AMPS VOLTS / PHASE
VALUE OF WORK S
(
NEW SERVICE ❑ Overhead n Underground I IJ Underground up Pole
❑Residential(Main) Service
00-100 amps 0 1 01-150amps O 151-200amps 0 amps # of Meters
CCommercial (Main) Service •-z
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service _amps
Conductor Type Size
0 Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps # of Unit Meters
• OTemporaty Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0100 amps 0150atnps D200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30atnps • 31-100anYps • 101-200amps
Appliances: 0-30amps 31-100atnps 101-200amps
A'C Circuits: 0-60a►-gps 61-100amps
I leat Circuits: # circuits @ ' kw
Number of Lighting Outlet,,Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0Smoke Detectors_Qty OTransformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUZ OF WORK$
REPAIRS/MISCELLANEOUS
. Repl Burnt/Damaged Meter Can 0Safety Inspection OPanel Change OOH to UG
1� 1
- • I ' lac; C Es E. T- 100-YES
._,Other: 11� � � 1 Ce � I 1 I � � �
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.
Phone Number 4
f ,- 1 ett 11 —Q( i
Property Owners Name a I cI CI
Electrical Company •_ ■. . .� �� YI con���i 'I ice hone 2-�V—CICI Fax
• Co. Address: 1-4-2_ l 1L ' h S}(e CityAnCtfVG kTtC-, t to kI Zip -3Z2✓3
Holder P ill' ' ' , ! . Oki i State Certification/Re istration # _
License �y1n imi� EC 13002296 r
Notarized Si:+FB ;�/ '°=Rou vde .�K►dJs►
MY Commission EE 884631 20 1
„ptltl" Expre.o3rllnolBefore ni. this ! Tray I W 1
// 1
Signature of Notary Public .t) -l.°Ct-- t,J�