165 Ocean Gate Dr - Electric Only 100 amp 101. IS) CITY OF ATLANTIC BEACH
J N 800 SEMINOLE ROAD
)1, 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 -388
Job Type: ELECTRIC ONLY
Description: 100 AMPS
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 165 OCEAN GATE DR
RE Number: None
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
New Single Family Electrical $50.00
Total Payments: $109.00
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 ax (904) 247 -5845
JOB ADDRESS: O(r 1 C,
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS J 0 CAMPS cPL! @OLTS j PHASE
VALUE OF WORK $ 2 COO
NEW SE' VICE 1 1 Overhead ri Underground 1 IT Underground up Pole
' esi cntial (Main) S vice
L 0:100 amps 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main ervice
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑CT 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 ❑200amps ❑ amps ❑CT 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 $
REPAIRS/MISCELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑ Safety Inspection ❑Panel Change DOH to UG
Blither: O Oc fC 1 1 t erS On G -rear Crori rneter LCrni _1
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 kit
one Number 2-41 ^ 122_2_
Electrical Company r r �;
P Y , �1 � ... _ /.1 .t 1 _ � n l l (.lL 1}� ice Phone � f�'}�� Fax
_,o. Address: Z- _ i� VIA6 ' .t.. CityA`t Ian+ icYfrotate FL Zip 5223 3
Acense Holder Print : A _■ • ,.. 111110.0. ; �i
, �y ova State Certification/Registration
Votarizeu . " iolig a�1fi� "1 ' er �r Ji���l i ;' C 3 �� Z
Baruara My Commission EE 884631
aao Expires03 /17!2017 Be fore i
me this l& day 20
Signature of Notary Public w t 6v i 1