159 Ocean Blvd New Service 2014 `s CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
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: 14-ELEC-689
Job Type: ELECTRIC ONLY
Description: new service
Estimated Value:
Issue Date: 12/19/2014
Expiration Date: 6/17/2015
PROPERTY ADDRESS:
Address: 159 OCEAN BLVD
RE Number: 170209-0000
PROPERTY OWNER:
Name: HUDSON,
Address: 159 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
Trade Permit Base Fee $55.00
Electrical Service Change $90.00
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Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax ( 04) 247-5845
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.TOB ADDRESS: 1 ( ' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS t' V VOLTS PHASE
VAL UE OF WORK$ ! C�
NEW SE�ICE F-1OverheadUnderground ❑T Underground up Pole
JFTResi (Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps �--�mps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps C! amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty f Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Ll Safety Inspection ❑Panel Change El OH to UG
❑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.
Property Owners Name (A n Phone Number
Electrical Company 675U S+-
e (l nf0ZLH8i e PhonOsjaxCo.Address: �r� City- z-p--5FZ`�2
License Holder(Print): A State Certification/Ret a.
i16021,96
Notarized Signature of License Holder ��;;
Before me this day of Uc., l
Signature of Notary Public n h Gc� , �1