1525 BEACH AVE - METER CAN -S r\.T1 r
f' '- '`' ''' CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
•
J 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-582
Job Type: ELECTRIC ONLY
Description: METER CAN
Estimated Value:
Issue Date: 3/9/2016
Expiration Date: 9/5/2016
PROPERTY ADDRESS:
Address: 1525 BEACH AVE
RE Number: 170309-0010
PROPERTY OWNER:
Name: DAVEY TRUST. DONALD V
Address: 1525 BEACH AVE
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
Electrical Repairs $35.00
Total Payments: $94.00
1
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
1525 Ph(904) 826 Fax (904 47-5845
JOB ADDRESS: (&°e/ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 1OO AMPS 9(6 VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground F1JUnderground up Pole
[Residential(Main) Service
00-100 amps ❑101-150amps 0151-200amps r] amps #of Meters
[Commercial(Main) Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
[Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps D amps #of Unit Meters
[Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps D 150amps ❑200amps ❑ 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
DSwimming Pool El Sign ❑Smoke Detectors Qty [Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF WORK$
REPAAI[I�4r/MISCELLANEOUS
eplace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change DOH to UG
❑Other:
'ermit 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
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. -7 /
'roperty Owners Name�n ILL* Lj Number 1 G9
;lectrical Com an r(CCy1 C - Fax
p YL►m�. � `� C1 �h'o. Address. '4Z (j)€S J{ 1rL° I C- aft: ti—Zip ZZg�
icense Holder (Print): r1 lepic S. `I'1 •k ' State Certification/Registr�•o�1#300279
Totarized Signature of License Holder uI 1 _ ,�
Before me this 1 d. : .
In C./\_._201 �
Notiry Public Stats of Fl-Drg .y • C9C t `l.�J ; • L
Barbara Kaye Kennelly ri ure of Notary Public
My Commlasion EE 8e4831
'aw., My CO 11317712017