831 BEACH AVE - ELECTRIC 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-581
Job Type: ELECTRIC ONLY
Description: PANEL CHANGE
Estimated Value:
Issue Date: 3/9/2016
Expiration Date: 9/5/2016
PROPERTY ADDRESS:
Address: 831 BEACH AVE
RE Number: 170330-0000
PROPERTY OWNER:
Name: WHITAKER, DALE
Address: 831 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
0 Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
Electrical Repairs $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
G I (904)247-5826 Fax (904) 247-5845
JOB ADDRESS: p teach ch aue, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS --67i) AMPS 9.YDVOLTS / PHASE
VALUE OF WORK$ /`00. 40
NEW SERVICE I I Overhead n Underground I II Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps Li 151-200amps 0 amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps 0 151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150atnps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 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
❑Swimming Pool 0 Sign ❑Smoke Detectors_Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection anel Change DOH to UG
❑Other:
rmit 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
ecified 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
.nstruction.
-
•operty Owners Name --
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0 It Phone Number ZG� -- �S
ectrical CompanyLl 171 Et f icc fracti Mice Phone I' GC6( Fax
). Address: 42_ LiDLS-k- , 1 - 1 ° cityAt kinti C. SectEL�- Ft Zip 3?2-3 3
cense Holder (Print): OJfI S . ( , �l State Certification/Registr 7
)tarized Signature of License Holder , 30�•-.296
�,►%P Notary Public State ogee e this �� W La (► \C-tA (-t_20 I l0
Barbara Kaye KenneN y
�1` My Commission EE 831 I - IC�'�i,,,,,o Explros 03/17rto17�ignat - of Notary Public A l� r