177 Ocean GAte Dr - ELECTRIC NEW SERVICE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
u 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-182
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 1/25/2016
Expiration Date: 7/26/2016
PROPERTY ADDRESS:
Address: 177 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: $119.00
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 1-71 0c eon C,ni,_Or. ��a�� PERMIT# lb-�LrG-t&Z
JEA INFORMATION REQUIRED ON ALL PERMITS I5_Q AMPS aqo VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground ❑!Underground up Pole
❑Residential(Main)Servvige
1:0-100 amps 6461-I50amps 11151-200amps Fl-amps #of Meters
[ Commercial(Main)Service
-0-100 amps D101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Sim
Multi-Family(Main)Service
0-100 amps 0101-150amps ❑151-200amps ❑ amps 4o Unit Meters
GTemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑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 Detectom_Qty ❑Transformers KVA ❑Motms_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Rep/eplaceBumt/Damaged Meter Can El Safety Inspection ❑Panel Change ❑OHto UG
NDOSer: gq1 O�t ono,me'1rr Gan rrI+F'narr ) wz*k 15C)AMe Nuln Qrl &-akU.nii-
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 1 have
read this application and know the same to be we 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 my other state or local law regulation construction or the performance of
construction. (
Property Owners Name 2�y i g s Phone Number
h
Electrical Company L,wRc*,.aL-+4 6.-1..,1L. - ` _Office Phone Fax
Co.Address: �`6S" City State_Zip
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License Holder(Print): .� State C?ca n/Reglstration#
Notarized Signature of License H6e1eFV / t
V . t
Before m this day o 20
Signature of Notary Public