363 Atlantic Blvd #1 - Change Disconnects on Roof AC r-S-r r
.r.1) 1 CITY OF ATLANTIC BEACH
I j 800 SEMINOLE ROAD
-- ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�JS31 >r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -323
Job Type: ELECTRIC ONLY
Description: ELECTRIC - CHANGE DISCONNECTS ON ROOF AC
Estimated Value: $1,250.00
Issue Date: 2/9/2016
Expiration Date: 8/7/2016
PROPERTY ADDRESS:
Address: 363 ATLANTIC BLVD UNIT 01
RE Number: None
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) 247 -5826 Fax ) 247 -5845 1 Cos - EL-ce _ 3Z3
JOB ADDRESS: j S At l L I ± J C 1
C \ t . PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS e,23 AMPS 3 VOLTS
n PHASE
VALUE OF WO ' l / -5d c
NEW SERVICE 1 1 Overhead 1 1 Underground nJ Underground up Pole
❑Residential (Main) Service
❑ 0 -100 amps D 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
❑ 0 -100 amps ❑ 101- 150amps ❑ 15l - 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- 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
0 Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA ❑Motors hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can
❑ Safety Inspection ❑Panel Change 0 OH to UG
- Lther: Chun d ds C O / neIJC15 / Ft Rvg,( We
mmit 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
ecified 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
, nstruction.
operty Owners Name S I CL_ L r� ' , one Number Z41, — I �0E
ectrical Compan IS 0 . /_a a - ( .. C I� is i P hon e � �
2 �� OS
Fax
). Address:42 L 1 . - + r City AtlaatiC I � ` f:. - L Zip 2 Z33
cense Holder (Print): {4 11) 1 ii t
,, l State Certification/Registration # 22 9'40
atarized Sig it r icog . if 'P. '. I.:.: V2 .4.1141h
f . Barbara Kaye Kennelly � QQ
' � M Commission s me is � 1.6 - 20
o.w E x y pireso 2017
i_'" a re of Notary Public ,11, I C A (-(1
l