296 ROYAL PALMS DR - ELECTRICAL ---....\\
\ 0 CITY OF ATLANTIC BEACH
r• 4 sl 800 SEMINOLE ROAD
J - 4 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 16-ELEC-785
Job Type: ELECTRIC ONLY
Description: ELECTRICAL -WIRE ANSEL SYSTEM FOR COOKING
EQUIPMENT
Estimated Value: $1,500.00
Issue Date: 4/4/2016
Expiration Date: 10/1/2016
PROPERTY ADDRESS:
Address: 296 ROYAL PALMS DR
RE Number: 177613-0000
PROPERTY OWNER:
Name: KLOTZ, JEFFREY DAVID
Address: P 0 BOX 330833
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 �
Ph(904 5826 F, 04) 247-5845 1 ( /— L Ea--785
JOB ADDRESS: q k IoL( J 1C,J►ten
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 900 AMPS ZO VOLTS l PHASE
VALUE OF WORK$ 1500 400
NEW SERVICE I I Overhead I I Underground I J Underground up Pole
['Residential(Main) Service
00-100 amps LJ 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT 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 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 ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
lOther: l _I ,L '/.. w_ 'Of / ik.• -
nit 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 pen-nit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
instruction.
-operty Owners Name ' ,� )I n JCL Phourmber UlL'0" qC3�
ectrical CompanyU (IA �( 1�1eC+Ir 1 t�' C'
(� ne ZL}-1- OS( Fax_
). Address: �2 ( ADLS I� �h 1 pf�', ;' -� �
Cit _ tip
cense Holder (Print): rt1 Q S - j el L� � State Certification/Regis t'
)t a r i z e c l S i g .,t 1 E 1, o , • 3 0022 96
slits, Notary Public S oI iW1GY � 1 /
Barbara Kaye N �m- hi• I. : �> 20 1 {O
My Commission EE 884631
%r,,ti Expires 0 31 1 7/2 0 1 SSi! attire i f Notary Public `Ca CL--- !C - • 1