201 Mayport Rd - Main - Electric Only Well Common Area 'S� CITY OF ATLANTIC BEACH
.., ;) 800 SEMINOLE ROAD
\ ' " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -130
Job Type: ELECTRIC ONLY
Description: elec for well common area
Estimated Value:
Issue Date: 1/19/2016
Expiration Date: 7/17/2016
PROPERTY ADDRESS:
Address: 201 MAYPORT RD MAIN
RE Number: 177649 -0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 797 MAYPORT RD
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
Electrical Repairs $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.
r
��" ' \ , CITY OF ATLANTIC BEACH
'!�
Ti 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
/ INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-130
Job Type: ELECTRIC ONLY
Description: elec for well common area
Estimated Value:
Issue Date: 1/19/2016
Expiration Date: 7/17/2016
PROPERTY ADDRESS:
Address: 201 MAYPORT RD MAIN
RE Number: 177649-0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY C7
Address: 797 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00 Ql
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State Elec DCA Surcharge $2.00 \c-a
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Electrical Repairs $35.00 / ��.
Trade Permit Base Fee $55.00 / ) /134-
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Total Payments: $94.00
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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 /ij £ y
800 Seminole Rd, Atlantic Beach, FL 32233 yi9d led
Ph (904) 247 -5826 Fax (904) 247 -5845
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ADDRESS: it ` f �•�_ E � /
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" - rIIIIWMINtL PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS U `eD VOLTS
PHASE
VALUE OF WORK $ /5 6: Oa
NEW SERVICE 1 1 Overhead nderground nT Underground up Pole
❑Residential (Main) Service
❑ 0 - 100 amps ❑ 101 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
❑ 0 - 100 amps ❑ 101- 150amps L 51 -200am s
Conductor Type Size p ❑ amps ❑CT Service amps
❑Multi- Family (Main) Service
00 -100 amps ❑ 101 150amps ❑ 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- 30amps 31 -100am s
Appliances: 0 -30am s p 101- 200amps
A/C Circuits: p 31- 100amps 101- 200amps
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 CI Safety Inspection ❑Panel Change ❑OH to UG
❑ Other: 5 I/X(10A U fic c,444 -4 P ��//
Pennit 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
-ead this application and know the same to be hue 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.
?roperty Owners Name A , A ° V _40 �
_ Phone Number 2m( t7,00
Electrical Compan • filk'J �11 eCir C
L al L _ • fice Phone d- 4) 1 Fax
-2o. l t o. Address: �2 (a h �{ � 1- re.et
City t i Gni are. c tat - Zi 3223 3
License Holder (Print): Cue.'X, S. Li rnbcu4
State Certificatioregi9()
Notarized Signature o Lice e .r i r
�e�r Notary Public Stae re a t his f r7
p Barbara Kaye t o I a
°1 i My Commission EE 884631 y "" 20
e Expires 03 /17/2017 Si:. , to i • of Notary Public 6 __Itik_e_a_
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