74 FORRESTAL CIR - ELECTRIC S' 'L11:/
s rte`;` s, CITY OF ATLANTIC BEACH
A s. 800 SEMINOLE ROAD
J IZ 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-614
Job Type: ELECTRIC ONLY
Description: ELECTRICAL REPLACE BURNT METER LUGS
Estimated Value: $500.00
Issue Date: 3/14/2016
Expiration Date: 9/10/2016
PROPERTY ADDRESS:
Address: 74 FORRESTAL CIR
RE Number: 171755-0000
PROPERTY OWNER:
Name: MARTIN, LILLIAN
Address: 74 FORRESTAL CIR
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 WI"I II ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
03/14/2016 11:26 904-2490703 BROOKS AND LIMBUAGH PAGE 01/02
ELECTRICAL PERMIT APPLICATION
CITY OE ATLANTIC,,BE<A.CII
800 Seminole Rd,Atlantic Beach, FL 32233
Ph.(904)247-5826 Fax (9047-5845 ( (a -ELE: (. 14
JOB ADDRESS: "14 -Fare Crd ICY-la h
.���''��!! �m...___,� �} �T REQUIRED ON �-E o RATq -
."EA �`�1�'V1R1CAA,�IOAY REQ JIRED OA\ALL IER AIT! S iir—A-. ?M ^ VOLTS / •PHASE
VALUE OF WOJff $ 5'0
.0
NEW SERVICE ❑ Overhead E Underground OT
OReside>atial a Underground Underground up Pole
(�'I ims)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps
❑Commercial(Main)Service - #of Meters
00-100 amps D101-i50amps OIS1-200amps ❑ amps 5
Conductor Type Size OCT Service amps
OMulti-Family(Maim)Service
00-100 amps 0 101-150amps 0151-200amps 0_ amps #of Unit Meters
0Temporary Pole 0 amps
SERVICE UPGRADE 0_ amps 0 CT Service amps
VEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150atnps D200amps 0 amps OCT Service. amps
LDDITIONS,REMODELS,REPAIRS,BUILD-OUTS,S,ACCESSORY
— STRUCTURES,ETC.
TC Outlets/Switches: 0-30an s 31-100amps 101-200am
ps Appiances:
0-3Oaxnps 31.100a:mps _ 101-200amps
A/C Circuits: 0-60amps 61-IOOamps
Heat Circuits: . # circuits @ kw
Number of Lighting Outlets, including Fixtures:
VIER ELECT,RI(C.AL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty ❑Transformers- KVA ❑Motors lip
RE ALARM SYSTEM (Requires 3 sets of plans)
- Qty volts/amps VALUE OF WORK$
i1FAIRS/MCISCELL.ANEOUS
❑Replace Burnt/Daimaged Meter Can ❑Safety Inspection OPanel Change ❑OIL to UG
JOtber: _lace burn t nevi S ______
nit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. T hereby certify that i have
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
died 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
traction.
?esrty Owners Name LcrettI] ripr P ho mUer Li 31 " gag__
h�i
:trical Company t-�_Si R . _ i I ■t!u C( 1C_ c bone 05 ix
Address: t--I-1 i