675 BEACH AVE - ELECTRIC (----11=\J`lr,, \.91 CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
l` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
'" rJ1,1 9'r,
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1313
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SAFTEY INSPECTION
Estimated Value:
Issue Date: 6/8/2016
Expiration Date: 12/5/2016
PROPERTY ADDRESS:
Address: 675 BEACH AVE
RE Number: 170121-0000
PROPERTY OWNER:
Name: BENZ, JAMES W & CATHERINE M, *
Address: 675 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORID.
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
P 04) 247-5826 Fax (904) 247-5845 1 Co -ELEC.-t 3 i 3
JOB ADDRESS: (C371 S ea Ch G i.jQ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS/W VOLTS ( PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground J Underground up Pole
❑Residential(Main) Service
u 0-100 amps ❑101-150amps [)151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps [1101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps E 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 1] amps Li CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps CJ 150amps ❑200amps i amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. r ,
Outlets/Switches: 0-30amps 31-100amps 101-200amps �l.) ni 0"
tn
Appliances: 0-30amps 31-100aps 101-200amps Q
A/C Circuits: 0-60amps 61-100amps (2,
Heat Circuits: # circuits @ kw to
Number of Lighting Outlets, Including Fixtures: ,/ Q,
OTHER ELECTRICAL PROJECTS `
11Swimming Pool ❑ Sign LI Smoke Detectors Qty ❑Transformers KVA iMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
LI Replace Burnt/Damaged Meter Can afety Inspection ❑Panel Change ❑OH to UG
❑Other: Saft_r,1 , 1_f5ECi-1 on
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 J I I�1 ?), 3 Phone Number —(4450
Electrical Company ' es 11 • \let:i r l Oak("iali-rzCrce Phone2{1 CI�S� Fax
Co.Address: 42 -__,I- ` + 11 SA-YeP� cittyJJ A t ►r.M k 6eseate-- LZip Z3
License Holder(Print): CLI-e))( S. ``itj �V\ State Certification/Registi i(002296
Notarized Si nature o License Holder +I t1
4,4s `i Notary Public state of FI4 for me this
S)1' day, J(--t-1`-( _ 20 I (p
Barbara Kaye Kennelly �/'
1,40c col
E pCe p3/172o 8846�tign. ure of Notary Public � GIL(X�c lam,