20 LEVY RD - ELECTRIC METER CAN REPLACEMENT rt!r��`J
CITY OF ATLANTIC BEACH
•2 800 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-1918
Job Type: ELECTRIC ONLY
Description: ELECTRIC - REPLACE METER CAN
Estimated Value: $600.00
Issue Date: 8/23/2016
Expiration Date: 2/19/2017 _
PROPERTY ADDRESS:
Address: 20 LEVY RD
RE Number: 170794-0100
PROPERTY OWNER:
Name: H & H AUTOMOTIVE REPAIR SHOPS
Address: 20 LEVY RD
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 ax (904) 247-5845 i (p—EL EC '19 18
TOB ADDRESS: ,-P,c) Le U Kond PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS0041WPS Z LTS ) PHASE
VALUE OF WORK$ 0:). CD
NEW SERVICE Overhead ❑ Under round �fTUnder Underground up Pole
[Residential (Main) Service
[10-100 amps [1101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
il ❑0-100 amps
Conductor Type ;101-150amps
Size C1 I51-200amps 0 amps DCT Service amps
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps # of Unit Meters
❑Temporary Pole Cl amps
SERVICE UPGRADE I I amps C] CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[_l 100 amps ❑150amps ❑200amps ❑ amps [CT 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 LMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIR ►:. CELLAN : r---
i ,f plac, Burnt/Da i aged Meter [Safety Inspection I 1 Panel Change OOH to UG
[Other:
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. I /
Property Owners Name E`er t 1—t fr 1� � I. Phone Number 24 ` (-WOO
Electrical Company.-_.1 I'l'l k b(fC L ( itr�t-CW4e Phone Gam{ I �10 ( Fax
rr �x� h C� QQ// ``�
Co. Address: 4 Z i s f + rely' City H-t �G`i` L "tate H Zip .5z L3 3
License Holder(Print): A i f,1( rt -c ` G State Certification/Registratior
Notarized Signature of License Holder
-fore me this i ay of ._ 0
� v Notary Public State of Florida -
c� E3arbara Kaye Kennelly . ^ / , 4 , ,
• luy commission EE asas31 :ignature of Notary Public G `—t_/ I
o�p Expires03117t2017