342 6th St - Elec Only 28 Fixtures „ r
' 1, S J CITY OF ATLANTIC BEACH
, !� 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 -278
Job Type: ELECTRIC ONLY
Description: 28 FIXTURES
Estimated Value:
Issue Date: 2/4/2016
Expiration Date: 8/2/2016
PROPERTY ADDRESS:
Address: 342 6TH ST
RE Number: 169864 -0000
PROPERTY OWNER:
Name: KIRK, ROBERT & CHRISTINE E, *
Address: 342 6TH ST
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 $0.60
Total Payments: $59.60
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
i iB
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 94 (± h Street PERMIT #
JEA INFORMATION REQUHtED ON ALL PERMITS �//! 2 AMPS .2a2 VOLTS l PHASE
VALUE OF WORK r6 &V r , dO
NEW SERVICE 1 1 Overhead ( 1 Underground 1 U Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps 0101- 150amps 0151 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.)
N 100 amps ❑150amps 0200amps ❑ amps ID CT Service amps
ADDITIONS, REMODELS PAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: ` 30amps i- 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
EIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑Safety Inspection El Panel Change El OH to UG
❑ Other:
'ermit 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 permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
onstruction. ^
ropey Owners Name 1 LJ KI r K Phone Number NTh-- qcq 5
lectrical Company\j {n E'i rj 4 rGCti � Terrii"ce Phone 2-4t-Gc6I Fax
'o. Address: 42 + V h T re - city �� 3
tY .1'�t��nflG�'� e �- Zip3Z? 3
icense Holder (Print): mi " & , ilit rtification/Regi gg 4002296
LEVI ' I � I State Ce
lotarized Signature of License Holder
Nomry Pub c sate a FioB��fo me this 44 r j da � /lam L 0
f
Barbara Kaye Kennely
MY Commission EE 884BS1 re of Notary o.a
Nt
EXPires o3n� 2X Im Public '� (`�k CJ 1