262 S Nautical Blvd. - Electric Panel Chg r JJ�
'" :r s 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 -391
Job Type: ELECTRIC ONLY
Description: panel chg
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 262 S NAUTICAL BLVD
RE Number: 170703 -0404
PROPERTY OWNER:
Name: BISBING, WILLIAM
Address: 262 NAUTICAL BLVD S
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
Electrical Repairs $35.00
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 (904) 247 -5845
JOB ADDRESS: 2-(OR N U, 1 Th i 1 v S PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS 2-`t Q VOLTS ' PHASE
VALUE OF WORK $ 1 000
NEW SERVICE 1 1 Overhead I Underground 1 IJ Underground up Pole
❑Residential (Main) rvice
DO-100 amps 01 150amps ❑ 151- 200amps 11 amps # of Meters
❑ Commercial (Main rvice
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
110 -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- 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
El Swimming Pool ❑ Sign El Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK$
E EPAIRS/MISCELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑ Safety Inspection Alf anel Change ❑ OH to UG
I ❑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.
..-76 . .
• 'roperty Owners Name C 4) 1 I G (S i i nri Number 2 —
lectrical Company 6 m t' _A it _ (&.k( (!f Ice - Ph C one 24 t ( (ax
o. Address: L =i,: �' Cit � I G SCNate Zi �5 S
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P
icense Holder (Print): A ( '� • ._..{ ... �'c . State Certification/RegistrEC 13002296
Totarized i t • , I � �11�, t o
_ i .� •
Notary Public State of Florida 1 1 _ • _
7 4 �
Barbara Kaye Kan 8 n a efor: me t his day : && 20
1 M Commi ssion 884631 O (
r��o� Expires 03/1712017 ,4, ■ . re of Notary Public '