320 DUDLEY ELEC 2016 METER CAN 11 SS OF ATLANTIC BEACH
r t f 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: 16-ELEC-146
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - REPAIR, REPLACE METER CAN
Estimated Value:
Issue Date: 1/20/2016
Expiration Date: 7/18/2016
PROPERTY ADDRESS:
Address: 320 DUDLEY ST
RE Number: 172345-0000
PROPERTY OWNER:
Name: CAMPBELL, CAROL P
Address: 1285 LILY ST
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 24 -5826 Fax (904) 247-5845 ( � — EL' —L4 to
TOB ADDRESS: 113� � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _AMPS r6K� VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑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
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 0C 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$
REP S/MISCELLANEOUS
eplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other:
7 nit 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
-ad 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 pen-nit does not give authority to violate the provisions of any other state or local law regulation construction or the perfonnance of
onstruction. M gay,, G� f
'roperty Owners Name C " 1 Phone Number6 t/`('-5�`
Iectrical Company C% h e 0 r/ z lt'a�� J
i2r�l"
:o. Address: q9—
City State Zip
icense Holder (Print): ry\ State Certification/Registration#
lotarized Signature of License Holder
Before me this of 2
Signature of Notary Publi