193 OCEAN GATE - ELECTRICAL i1r
�) \`�S, CITY OF ATLANTIC BEACH
4 800 SEMINOLE ROAD
v
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-2704
Job Type: ELECTRIC ONLY
Description: new elec 150 amps
Estimated Value:
Issue Date: 11/18/2015
Expiration Date: 5/16/2016
PROPERTY ADDRESS:
Address: 193 OCEAN GATE
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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE writ ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
II Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: I GS a &CL+C, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS I -;C-) AMPS ZLI L/'BOLTS I PHASE
V UEOFWORK$ 2co0
NEW SE:VICE ❑ Overhead Underground ❑1 Underground up Pole
I 'esidential (Main)Service
00-100 amps L6'101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0 0-100 amps ❑101-150amps 0 151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0 100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool O Sign 0 Smoke Detectors Qty ❑Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/DamagedMeter Can ❑Safety Inspection OPanel Change DOH to UG
E1'Other: c c - 6-6-firs or 1 G -Fair 9anq melt( ()°y1+.(
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. 1^
Property Owners Name' t �"�Cl C )1-Vr1-V- _Phone Number 2 41— 1272.
Electrical Company '-%(1'�J1 %. 1. ,, a 'I lib • Ccrkvc.0 -1 1 - ce Phoneo2 I—G051 Fax
Co.Address: 49 l_ eS1' • 1 l'ef.t- City A nt i htate Fl-Zip 233
License Holder(Print): A I S- \ X ili. i State Certification/Regisi� 11002296
Notarized Si:nature o i e • . ■ ' ' ' 1 I J1
Notary Public Stata a r nr
Barbara Kaye Ke�re :e this I. day o i.. . • 21
My Commission EE 884631
iawd. Expires 03/17/2077 Si., atu,. of Notary Public '