197 OCEAN GATE DR - ELECTRIC r- J--
CITY OF ATLANTIC BEACH
( \JJ
� ,` 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-2703
Job Type: ELECTRIC ONLY
Description: new elec 150 amps
Estimated Value:
Issue Date: 11/18/2015
Expiration Date: 5/16/2016
PROPERTY ADDRESS:
Address: 197 OCEAN GATE DR
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
Trade Permit Base Fee $55.00
New Single Family Electrical $60.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph 904) 47-5826 Fax (904,247-5845
JOB ADDRESS: C l� can 9c,3- 1 c I V, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 150 AMPS o L VOLTS l PHASE
VALUE OF WORK$ 2 MO
NEW SCE ❑ Overhead K Underground nJ Underground up Pole
Ykesidential(Main)Se lice
00-100 amps E 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-l 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign OSmoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change ❑OH to UG
0 Other:
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. (---- 7
Property Owners Name tern s Habitat Phone Number. .2i4-1- 122 Z
Electrical Company Irillertiar acct-r i ccJ \ ci.±i ce hone.a41 'q W1 Fax
Co.Address: I4 `,�°S{ 9- et- City f t lQntiC to r-- Zip 3z2.3 3
License Holder(Print): 6 . , fA t ., • . State Certification/Registra
Notarized S a A. •• I a e e - , 11131 I ,'is �� �3U l)2 L9 b
Diary Pu•is state of on a 1 '
Barbara Kaye Kee e f
ps
„. Expires 03/7!2017 e this ,� .ay r 1 _ p
•. of Notary Public _ 1 ,Z _ _4— -%...■