2344 FIDDLERS LN ELEC !..1‘j
CITY OF ATLANTIC BEACH
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5-} 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 -750
Job Type: ELECTRIC ONLY
Description: RECONNECT WATER HEATER
Estimated Value:
Issue Date: 3/29/2016
Expiration Date: 9/25/2016
PROPERTY ADDRESS:
Address: 2344 FIDDLERS LN
RE Number: 169463 -0140
PROPERTY OWNER:
Name: GRANDY, EMMETT W & RENEE E, *
Address: 2344 FIDDLERS LN
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
Lighting Outlets, Including Fixtures $0.60
Total Payments: $59.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID
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: G ( F/161d1 (44e PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS t , AMPS 9{ 1 ( VOLTS PHASE
l c
VALUE OF WORK $ 50A G)
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
- 0 -100 amps 101- 150amps 151- 200amps amps CT Service amps
Conductor Type Size
Multi - Family (Main) Service
__0-100 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 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 1 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
Other: 494 /1
Permit 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
read 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
specified 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
construction.
Property Owners Name C/)7The7V�:f22(7a/f Phone Number 7 - 3 7 Electrical Company lint 494 �( z( / fice Phone 9N a L( q a e 1O3
Co. Address: (Ia tV1c t City 47 Stater/ Zip
License Holder (Print): ,6•[1‘ 0444,4 ti Certification/Registration # C6/.90
Notarized Signature of License Holder I A
01 o Y °os, Notary Public State of Florida re me this _ d % O , 20—
Shirley L Graham
o My Commission FF 086990 S a ature of Notary Pus
or rW' Expires 02/14/2018 � .