The URL can be used to link to this page

111 SANDY BEACH DR - ELECTRICAL FOR WELL f JAS\sak re' s f CITY OF ATLANTIC BEACH _ T c-) 800 SEMINOLE ROAD � ATLANTIC BEACH, FL 32233 INSPECTION ('HONE LINE 247-5814 ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 16-ELEC-210 Job Type: ELECTRIC ONLY Description: ELECTRICAL - FOR WELL IN THE COMMON AREA Estimated Value: Issue Date: 1/27/2016 Expiration Date: 7/25/2016 _ PROPERTY ADDRESS: Address: 111 SANDY BEACH LN RE Number: None GENERAL CONTRACTOR INFORMATION: Name: LIMBAUGH ELECTRICAL CONTRAC Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH Phone: - - FEES: Total Payments: $0.00 PERi111"I IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J �i1 —, : CITY OF ATLANTIC BEACH A' 800 SEMINOLE ROAD \+:j l r ATLANTIC BEACH, FL 32233 / INSPECTION PHONE LINE 247-5814 r1 0 319'' 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 1C3ff Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH Phone: - - FEES: State Elec DBPR Surcharge $2.00 V c—055 State Elec DCA Surcharge $2.00 \O./ ei \..).D\ 0 Electrical Repairs $35.00 q> 4 Trade Permit Base Fee $55.00 /, p Total Payments: $94.00 V J N...) v o N, cr.) (1 ., ,,,,, ,C),\--- \ PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I c- o 13 D@ H y e 7 / 7 / ] / ° co C § i / \ f , S g ] # \ .. % \ \ \ a \ / \ B Z § rn 0 nco coQ ƒ o X e E m = o r ] « » 2 - 9 m - = o g m s g 3 g § e 0 § / \ / 7C \.2 ° % .. ° = % CD 7 E e d 7...- e .. ƒ D \ ,2 / \ CD ƒ \ \ \ \ \ \ E & \ / 2 0 CO < f \ \ ¥ 0 © I c » j $ 5 m = \ \ \ ƒ \ 2 \ j f _ - > M E H Ti c j » 0 CO 0 / \ f / § 2 / m / m 0 2 ri / / j \ / - / 2 n \ 0 / 0 Z ,/ / / \Z 7D e = H > } / x n 0 - : � / / 7 ( a : a E [ co / ƒ /] ƒ / e ƒ , } 7 \ E / \ / •t Cl) \ "-Co.1\ � \ \ / > 0 -,- a O / / / 2 ND co o / 7 - O m \ a 0 / 0 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 +f ADDRESS: it ` f �•�_ E � / JoB " - 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_ - 1