326 Plaza o '` ''� " \s \ CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
.111/ y"
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 -279
Job Type: ELECTRIC ONLY
Description: 39 FIXTURES
Estimated Value:
Issue Date: 2/4/2016
Expiration Date: 8/2/2016
PROPERTY ADDRESS:
Address: 326 Plaza
RE Number: 169959 -0000
PROPERTY OWNER:
Name: CORNWELL, DANIEL WESLEY
Address: 326 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Lighting Outlets, Including Fixtures $23.40
Total Payments: $82.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
3 z(, - ? /Q-z.0--
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH n 7I
800 Seminole Rd, Atlantic Beach, FL 32233 l V
Ph (904) 247 -5 Fax (904) 247 -5845
JOB ADDRESS: -_....q oI PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS ` Gt / AMPS �sU VOLTS / PHASE
VALUE OF WORK ((g SD • C.°
NEW SERVICE I 1 Overhead ❑ Underground I v Underground up Pole
LIResidential (Main) Service
10 -100 amps ❑ 101- 150amps ❑ 151- 200amps amps # of Meters
] Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ii amps E CT Service amps
Conductor Type Size
Multi - Family (Main) Service
i0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
1 Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps [ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑ CT Service amps
ADDITIONS, REMOD�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: l�
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 Li Safety Inspection 0 Panel Change ❑ OH to UG
E 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
-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
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
; onstruction. �(,, �
?roperty Owners Name Vey . JhOr- € i 1 Phone Number I- 7 G.271
Electrical Compan 1 _ _ At Dedri CA COO 6thr ) --'-('ame Phone 74 ('-qC ( Fax
- 2o. Address: X1-2 �L� h re€Pt CityRt c e Fl—Zip 32233
Jcense Holder (Print): li l zh,A. M, _AC I. State Certification/Registration #
Notarized Signature of License Holder ,,IM E 3002296
ei % N..- - sillP AlAlfil ' • sal _A.- La- ); A
. Barbara Kaye Ke k • r
awo +�r �' hota Public _ _ 0 ,r._ ._ : _
Expires amnon 2