169 Ocean Gate Dr - Electric Only 100amp r _1..J.\.1.1.,
`'� ` s z CITY OF ATLANTIC BEACH
'� f 800 SEMINOLE ROAD
j ;r 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 -387
Job Type: ELECTRIC ONLY
Description: 100 AMPS
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 169 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.
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 -582 Fax (904 247 -5845
JOB ADDRESS: EP Ueen fl *e 1 PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS a (Q S 7
4 C(hLTS C PHASE
,( VALUE OF WORK $ Zl-0 0
NEW SEyVICE I" I Overhead Underground I 1J Underground up Pole
Residential (Main) Service
00 -100 amps J 01- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps ❑ 101- 150amps 0151- 200amps 0 amps II 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 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 0 Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
KEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ OH to lc UG
her: One 5 on G •VQL ( _ mCterC" l'f f
'ennit 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 pennit 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 ` E S Vkad11 Phone Number - 2W— 122_Z
lectrical Company Li (n17,L.1_,IC'fl a 1(.Ci CEr*6-c ' c io tt I - q C5 (Fax
'o. Address: 1.-}7 (..A.,(: 2 r.e ± City A , A C .'ti 6 ; : Zip 32233
icense Holde ' • , i
.. ,.,,,. �,.. — �1_I Ile State Certification/Registratio
/Otarized S x ''10 ry Public St of Florida I�f .U7'll --
M Commission E 8:84. 631 ,)
‘„04' Ex pireso3n7no1 fe - tt: this 1 da: C -L 20
Signature of Notary Public L<<rt IC . 1 • '
i