1992 COLINA CT - ELECTRIC � `�o CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
-,. . ATLANTIC BEACH, FL 32233
•J INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1681
Job Type: ELECTRIC ONLY
Description: ELECTRICAL REMODEL - 5 FIXTURES
Estimated Value: $4,600.00
Issue Date: 7/15/2015
Expiration Date: 1/11/2016
PROPERTY ADDRESS:
Address: 1992 COLINA CT
RE Number: 169506-1052
PROPERTY OWNER:
Name: FRITTS JR, CHARLES & KAREN, *
Address: 1992 COLINA CT
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: $94.00
I'ER%IIT IS APPROVED ONLY IN ACCORDANCE WITH ALL (TIN OF ATLANTIC IWAC11 ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 5 H _(—.6C — ( , 8 l
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: ■ggA CC7I 1 no C-1— PERMIT #
TEA INFORMATION REQUIRED ON ALL PERMITS 0--(0 • or S VOLTS / PHASE
VALUE OF WORK : Y0o ' Orp
NEW SERVICE ❑ Overhead Ti Underground I U Underground up Pole
OResidential(Main) Service
00-100 amps 0101-l 50amps 0151-200amps 0 amps # of Meters
ii Commercial(Main) Service .,
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amp.
Conductor Type Size
UMulti-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps # of Unit Meters
• OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: f0-30amps . 31-100attsps • 101-200amps
Appliances: 0-30amps / 31-100amps •. 101-200amps
A/C Circuits: to 0-60ac .ps 6.1-100amps
Meat Circuits: # circuits @"° kws
Number of Lighting Outlet,Including Fixtures:
OTHER ELECTRICAL PROJECTS ,.
0Swimming Pool 0 Sign 0Smoke Detectors_Qty OTransformers KVA 0Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can 0Safety Inspection 0Panel Change OOH to UG
JOther: Kc,4 ` ReihR 4
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six moitiths. I hereby certify that I hav<
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. I
��� ��+� Phone Number SO1--70 l-3
Property Owners Name�.t'l(J-a I�' �l�Electrical Company C1f l C __Ctr t MA ( fir e ffice Phone 2-L41—G 05( Fax
Co. Address: 42 asi "\ c+• City A}1Cln{ie l�.CGC KStateF-- Zip3 22
License Holder(Print): n b ... Lt I I ' �� I State Certificate �egislb iI
1��UU
Notarized Si:nature 1 ' •4 ' ' ' • ' •..Y,I J►''��•I/r'
IV
�O '' Notary Public State of Flonda I 1 a • —3L--( 20 l-S
? ; Qa�vara Kaye i<t ire in. this ��,r�JJJJ
Mx ires 0311 r EE 894631 a � 1 Lk .
"� �P Expires 03l17I2Ut7 •. 4, of Notary Public