306 PLAZA - ELECTRIC Cr\J`J\
,', CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
••�•�-_.) 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-1628
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE DISCONNECT ON METER HUB
Estimated Value:
Issue Date: 7/19/2016
Expiration Date: 1/15/2017
PROPERTY ADDRESS:
Address: 306 Plaza
RE Number: 169951-0000
PROPERTY OWNER:
Name: RILEY, RICHARD M
Address: 306 PLAZA
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 i/
Ph(904) 247-5826 Fax (904) 247-5845 I(G- ELEC -16 Z8
JOB ADDRESS: (' H050 PERMIT#
/ r
JEA INFORMATION REQUIRED ON ALL PERMITS (5AMPS r)v4 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground J Underground up Pole
• CI Residential(Main) Service
00-100 amps i1 101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
00-100 amps [7101-150amps ❑151-200amps ❑ amps OCT Service amps
4 Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
171 Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 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$
REPAIRS/MISCELLANEOUS
i]Replace Burnt/IZpIC
d Meter Can LI Safety Inspection ClPanel Change DOH to UG
ther: d cn Rev" h\_,-b •
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 'I Chc d Fi1,.. Phone Number ?MCI'—' <54-2"
Electrical CompanyL1 rn EIS f iI MIY6.Ck ice Phone 241-ci O`j I Fax
Co. Address: 2 St h SF met City At 10,AtiC Rrt tt FL Zip 223X
License Holder(Print): C 1'e ,S. . 4 ; j.--) State Certification/Registration#
Notar',• d e I' Amyl, _91d' c .
Notary' I I
c!iBarbara Kaye Kennelly 20
iucommin Exy pires 03/17!2017 OLA-LO ic tgnature of Notary Public