217 OCEAN GATE DR - ELECTRICAL r , * CITY OF ATLANTIC BEACH
5-) 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-2825
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - ONE OF FOUR METERS ON A FOUR GAGE
METER CENTER
Estimated Value:
Issue Date: 12/7/2015
Expiration Date: 6/4/2016
PROPERTY ADDRESS:
Address: 217 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
New Single Family Electrical $130.00
Trade Permit Base Fee $55.00
Total Payments: $189.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND '1'11E FLORIDA
13111LDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 l � C
Ph(904) 247-5826 Fax (904) 247-5845 S - 5 7J
JOB ADDRESS: I 1 �` lrx GCft61TY P ERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS I Cc AMPS C -4CVOLTS PHASE
VALUE OF WORK$ 2) 000
NEW SERVICE ❑ Overhead ItrUnderground I U Underground up Pole
.Residential(Main)Service
0-100 amps :;101-150amps 1151-200amps amps #of Meters
':Commercial(Main)Service
I 10-100 amps 01101-150amps J151-200amps amps I CT Service amps
Conductor Type Size
}
H Multi-Family(Main)Service
0-100 amps 101-150amps [115 1-200amps amps #of Unit Meters
JTemporary Pole _ amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
❑100 amps :150amps 1200amps 11 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:
11 OTHER ELECTRICAL PROJECTS
C.Swimming Pool 1 Sign 1 Smoke Detectors Qty I 'Transformers KVA I 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 U,,Gr
Cc - -i tr r�( r-ll is ci GI( ! 1 Cam]
Permit becomes void if work does not commence within a six month period or work is suspended or a and n
ed for six months. I hereby certify that I have
•ead 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
;pecified 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
:onstruction. ' l
?roperty Owners Name- OdS \--AG\01 umber Zy\-- 1
31ectrical CompanyLl mhcu.., Bed-r i f1-\I�Ci Q i_: • one — OS( Fax
:o. Address: Z . Aft. 4 'Ct City 'tlarli-iC. t. a - Ft-Zip' 2Z3
.icense Holder (Print):L%*•G leiK . i ill Nit State Certification/Regist;�at etif 002296 Ph Votarized Signature of License 1 o , ' _ _ , !,_..I ;A-
�. Notaryat of Florins , r 20
N to se�,ais •ay
My Commission EE 884831 ( ` ��D J( — �\ ^
Vo,„a1 Expire i :4 r- • • y Public 'L ('t V/„ L (/i