1752 OCEAN GROVE DR - ELECTRIC 1�i .
39 ass
is CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
44;
_r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J;il�r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1440
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE CLAMP
Estimated Value:
Issue Date: 6/22/2016
Expiration Date: 12/19/2016
PROPERTY ADDRESS:
Address: 1752 OCEAN GROVE DR
RE Number: 169617-0000
PROPERTY OWNER:
Name: ANTONE, MARY JO
Address: 1752 OCEAN GROVE DR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
06/22/2016 13:54 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826
Grô
Fax(904 47-5845 ' -ESC -I 440
JOB ADDRESS:__- 152 ea32 Ce i' u - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ) AMPS VOLTS PHASE
VALUE UE OF WORE$
NEW SERVICE 0 Overhead Ei Underground [T Underground up Pole
❑Residential (Main)Service
❑0-100 amps O l 01-150amps ❑1 S i-200amps 0 amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
OMUlti-Family(Main)Service
00-100 amps ❑101-1 SOamps (I 151-200amps ❑ amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps Cl CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps U 150anmps iJ200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oam ps 31-1.O0amps .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
O Swimming Pool 0 Sign Li Smoke Detectors Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORE$
REPAIRS/MISCELLANEOUS
❑Replace�Burnt/Damaged Meter Can El Safety Inspection ❑Panel Change 0O to UG
fOther ,
14 A t-Sf C,/ ,,-6/-inc_..c -ar ,5
'crmit 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
cad 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
pecificd or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance or
onstruction.
'roperty Owners Name 1'flC1i CQ, )iOne, neumber..2 - -
,lectrical Company Li m F L h t(C.i r i cni do(itratk hon.e • q05( Fax
:o.Address: 2___(_e_ __:.___4- • 1 Peet et - city\`ti la1i F( p 32-2- S
icense Holder(Print): •, "1. c. _ * Ut, - ' State Certiflcation/Registratiot , .,0n.,.,,r,r
Totari ed Si.nature o License Holder PPP LI;
�y Natnry Publle State of FlpHdeBe�..re me this ' _ �: TY _. 20 1 -
�` Berbera Kaye Kenazyr
MY Commissbn EE 684831 / '
• I
V / repir itg Si,, ature of Notary Public _ _ �' f• . `,,y� .