1525 BEACH AVE METER CAN Jo i 4 fi-AN:r
v CITY OF ATLANTIC BEACH
or
I A J 800 SEMINOLE ROAD
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J ~ ,17 ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -751
Job Type: ELECTRIC ONLY
Description: METER CAN
Estimated Value:
Issue Date: 3/29/2016
Expiration Date: 9/25/2016
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
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 -5826 Fax (904) 247 -5845
JOB ADDRESS: 8 K / e e PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 31 AMPS 6 VOLTS / PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead I Underground I 11 Underground up Pole
L (Main) Service
[A 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 Li CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps 11 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 ❑ Smoke Detectors Qty ❑ Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK$
REP S/MISCELLANEOUS
R eplace Burnt /Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ OH to UG
XOther: / At / / w/ _ Ge
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
•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
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
; onstruction. kU i Ya/? at (/'7
?roperty Owners Name ja-w Phone Number 6o 7 —6 9 6 9
Electrical Company (irl'lili Ge16 /to Office Phone ?W fOS/ Fax Nbt77
Eo. Address: Lf' /IUD( i 1611 U i City47 State R Zip - 7 2- - 53
License Holder (Print): & 0/ 1 State Certification/Registration # a/3002-9f, Votari , '; , t e o License Holder t �
49 Y '`?u,, Notary Public State of FlorideBe'• re me this Z /� • . • f �,p'( r I 20 1 1.Y
" . Shil L Graham r
No,,, ,,,, ,` M y C ommission FF 086990 /� ���
Expires 02/14 /2018 Si •, ature of Notary Pub - =
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