20 DONNER RD - ELECTRIC -S!rL`'f
.1- Apr � i CITY OF ATLANTIC BEACH
;-, ••�, ;: j 800 SEMINOLE ROAD
J ji---1 ATLANTICBEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1535
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPAIR
Estimated Value:
Issue Date: 7/7/2016
Expiration Date: 1/3/2017
PROPERTY ADDRESS:
Address: 20 DONNER RD
RE Number: None
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES ANI) THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 // � ���
JOB ADDRESS: �� Don Ph (904) 247-58 Fax (904) 247-5845 1 (D
(1 elf 1 ocv A PERMIT#
�
,IIA LNFORMATION REQUIRED ON ALL PERMITS /5/ �,/,° VOLTS PHASE AMPS p'ir
VALUE OFWORK$ vV�'636'
NEW SERVICE I I Overhead ( 1 Underground 1 IJ Underground up Pole
°Residential(Main) Service s # of Meters
00-100 amps 0101-150amps 0151-200amps 0 amps
CCommercial (Main) Service s OCT Service amps
DO-1000-100 amps 0101-150amps 0151-200amps 0 amps
Conductor Type Size
°Multi-Family (Main)Service # of Unit Meters
00-100 amps 0101-150amps 0151-200amps 0 amps
°Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
0 100 amps 0150amps 0200amps 0 amps OCT Service amps
REMODELS REPAIRS, BUILD-QUTS,ACCESSORY STRUCTURES,ETC.
ADDITIONS, REMODELS, �, 31-100am s 101-200amps
Outlets/Switches: / 0-30amps 31-100amps '. 101-200amps
Appliances: 0-30amps P
A/C Circuits: 0-60amps 6.1-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTH( R ELECTRICAL PROJECTS °Transformers KVA °Motors hp
11Swimming Pool 0 Sign OSmoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps • VALUE OF•WOR-K$
REP AIRS/MISCELLANEOUS
°Replace Burnt/Damaged Meter Can DSafety Inspection OPanel Change OOH to UG
,Other:
Permit becomes void if work does not commence within a six month period or work is
and ordinancesdorandoned for
six monthswill bere�liceby rti iyt that
I whether
have
read this application and know the same to be true and correct. All provisions
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. •
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Property Owners Nam�SY1t�'IOYI ci_nin ic' 111 CYl � 1d
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Electrical CompanyUnn�-Ll —1���--�r t � __EL- z r i���z�3
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Address: 4Z ` S O h S trt'�t- City A I641IC. efadtate1
AI No 0011,, „ State Certification/Registratioo
lot._ Notary Public State of Florida 111113151
1 'yree�llse ; der `l .►�,1
'�CI •� l43 �1imssibnt 884631 I. -3-A- 20 1
no Expires 03/1712017
efore The this •aY4,
cianartire nfNotary Public • 't-bC', 0 J j