TEMP POLE SUNRISE CT �J `S\ CITY OF ATLANTIC BEACH
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: 15-ELEC-2818
Job Type: ELECTRIC ONLY
Description: TEMP POLE 60 AMPS
Estimated Value:
Issue Date: 12/7/2015
Expiration Date: 6/4/2016
PROPERTY ADDRESS:
Address: 139 SUNRISE CT
RE Number: None
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 50�5e_ G C, On l PERMIT#
v '
w
-Ww
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
emporary Pole ❑amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT 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 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑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 ❑Safety Inspection ❑Panel Change ❑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 yOwners Name C-� �II Cd �+ Phone NumberZqt-:2 ��— Z Z
c_
Electrical Company U MYl l h �`(fiv 1 CCL r6r—b e�one _ l �' G 4ax
Co.Address: �� �Tl�'E'_� City At�Cli1�IC IIJ —ZiP�7 3 3
License Holder(Print): V State Certification/ t�at� 2296
Notarized Signature of License Holder
ET:1
P� orFi deay of �� 20
ar ar
MyCommission EE 684631
i >�tTOtary Pu lic 1
CITY OF ATLANTIC BEACH
s 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: 15-ELEC-2819
Job Type: ELECTRIC ONLY
Description: TEMP POLE 60 AMPS
Estimated Value:
Issue Date: 12/7/2015
Expiration Date: 6/4/2016
PROPERTY ADDRESS:
Address: 187 SUNRISE CT
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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904) 2247-5826 Fax(904)247-5845
JOB ADDRESS: (/r r� C��� PERMIT#
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service at
Conductor Type Size
O Multi-Family(Main)Service
0 0-100 amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters
ATemporary Pole 0_4��amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps O 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 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑Smoke Detectors_Qty []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 ❑Safety Inspection ❑Panel Change OOH 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 i
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 wheel
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
construction.
Property Owners Name' 1 lCi1i Pjqne Number 74
Electrical Company u rY l 1 1 r t onel – CZ Fax
Co.Address: CityP\d��1111 IC 15te� Zip
� —
License Holder(Print): State Certificv "'N T96_
te Florida
Notarized Signatu ' eri �
My CO„,nilSKa
*p EE 864631 � 20
of Expire:"�Sja me this
Signature of Notary Public