161 Ocean Gate Dr - Electric Only 100amp ,� ; fr ' � CITY OF ATLANTIC BEACH
r , f 800 SEMINOLE ROAD
'�� =" ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\0.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -389
Job Type: ELECTRIC ONLY
Description: 100 AMPS
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 161 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: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 1 6 I Ocean I'c r Ve, PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 100 AMPS c)- 4L OLTS 1 PHASE
VALUE OF WORK$ 2CC
NEW Sy RVICE 1 1 Overhead [►Underground 1 U Underground up Pole
Resi ential (Main) S rvice
100 amps 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) ervice
00 -100 amps 0101- 150amps 0151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps
1
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 ❑ OH to UG
4ier: as - • -I [r V.' • 4 to f `i . r C.
'enmit 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.
'ro ert Owners Name !
p y S b � �� Ph Number � c at-I---1- 1 7 ? Z
lectrical Company U m b1L tiectricri ■ ice Phone 241 CIC6( Fax
:o. Address: 42 Ul S S CityA i cTxrxg to R— Zip
icense Holder (Print): P\ l.e S . _.-t CY) t ,r4; i ' State Certification/Registratis 13002296
Iotarize ,. p urgisd /G % ? f; cr _ II � 1 /
. Barbara Kaye Kennelly
My osio EE 884 for= e this � a a f 1 �- Cv 20 (0
' c, co �+� Expi m 03117/2017 I
re of Notary Public _K-urs•'l(.._, 16 .