173 Ocean Gate Dr - ELECTRIC NEW SERVICE CITY OF ATLANTIC BEACH
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-181
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 1/25/2016
Expiration Date: 7/26/2016
PROPERTY ADDRESS:
Address: 173 OCEAN GATE DR
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
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00 ®�
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: 1-7
3 OLP-an C�aia. Dr. 392 33, PERMIT# -ELEGIdI
JEA INFORMATION REQUIRED ON ALL PERMITS 150 AMPS ay 0 VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead [Underground ❑I Underground up Pole
❑Residential(Main)Sery ice
110-100amps 9101-150amps 7151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps E1101-150amps ❑151-200amps n amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1 1100 amps ❑150amps ❑200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
C Swimming Pool ❑ Sign ❑Smoke Detectors_Qty F1 Transformers KVA IMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OH to UG
X6ther. Af P iri, ul ', 'i.
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 OwnersName 'b"CAa.S{N.irfs-!AT' Phone Number
Electrical Company 4A� Office Phone Fax
Co. Address: �y Cityd State Zip
License Holder(Print): v' rtlfication/Regntration#
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47-
Notarized
Notarized Signature of License Holm
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�` Signature of Notary Public