1644 SEA OATS METER JAWS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ti7 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 -910
Job Type: ELECTRIC ONLY
Description: METER JAW REPLACED
Estimated Value: $600.00
Issue Date: 4/19/2016
Expiration Date: 10/16/2016
PROPERTY ADDRESS:
Address: 1664 SEA OATS DR
RE Number: 172020 -0226
PROPERTY OWNER:
Name: FLEMING, ROBERT M
Address: 1664 SEA OATS DR
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: 1 ( S f 1 V C , PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2 Lam AMPS c� 1 PHASE
VALUE OF WORK $ C;•00
NEW SERVICE 1 1 Overhead underground nl Underground up Pole
❑Residential (Main) Service
00 -100 amps 0 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 -100 amps 0101- 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
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
tEPAIRS/MISCELLANEOUS
['Replace Burnt /Damaged Meter Can ❑ Safety Inspection ❑Panell Change ❑OH to UG
Li 9,�f +� - 5 a
unit 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 Ray\ 1 (G pher Sq 1— cg 53
ectrical Company 11 1 t f C d i ': 4 one 2, — � ax
). Address: ( 41._ S �(4 " �°'eL Cit Aticalitc_alsiaxftip � S
tense Holder (Print): S • AL % La P � h S tate Certification/Registra 3002296
ltarized Signature of License Holder rm., • .. ) -
j e t Notary Pudic state of Ffpre ' e this it fay of _ I as t 20
Barbara Kaye Kennelly r a
My commission eE es f4 /g . - e of Notary Public GC -)AC—
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