181 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
30B INFORMATION:
Job ID: 16-ELEC-183
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 150 AMPS
Estimated Value:
Issue Date: 1/25/2016
Expiration Date: 7/26/2016
PROPERTY ADDRESS:
Address: 181 OCEAN GATE DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRAC
Address: 42 WEST 8TH ST CA 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: $119.00
GO�`�b
PERMIT LS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: RI cGe nn Gaie ()1`. :3 PERMIT# Ib'ELG'G—I83
JEA INFORMATION REQUIRED ON ALL PERMITS LSO AMPS ;N0 VOLTS I PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead LErfriderground ❑i Underground up Pole
❑Residen6el(Main)Se��"
C0-100 amps Itit01-150amps ❑151-200amps I I amps #of Meters
❑Commercial(Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Serviceamps
Conductor Type Size
❑Multi-Family(Main)Service
C 0-100 amps ❑I01-150amps ❑151-200amps I I amps #of Unit Meters
[Temporary Pole amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps f1200amps ❑ 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 ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace BumVDamaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
)Pdther. 14 4 nn 0-nw-+Mc Can mu(iiql._ c 10)W) ISO kMP rh iin on a cls unj-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 pernil does not give authority to violate the provisions of any other stale or local law regulation construction or the performance of
construction
Property Owners Name \ A" Phone Number
Electrical Company L v Office Ph or Fax
Co.Address: O City State Zip
License Holder(Print): �`� •S` S fication/Registration#
IV
Notarized Signature of License F o rLAO
t`r
Before me this day of 20
Signature of Notary Public