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146 Levy Rd elec permit ?j�Iirlc� n, CITY OF ATLANTIC BEACH j 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: lob ID: 16-ELEC-2449 3ob Type: ELECTRIC ONLY Description: split wiring up so unit#146 is on#146 meter Estimated Value: Issue Date: 11/1/2016 Expiration Date: 4/30/2017 PROPERTY ADDRESS: Address: 146 LEVY RD RE Number: 171067-0000 PROPERTY OWNER: Name: TENSION MINEFIELD HOLDINGS LLC Address: POST OFFICE BOX 810 POST OFFICE BOX 810 GENERAL CONTRACTOR INFORMATION: Name: LIMBAUGH ELECTRICAL CONTRACTING, INC. EC13002296 Address: 42 WEST STH ST CIA ALEX S. LIMBAUGH Phone: - FEES: Electrical Repairs $35.00 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE IVITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd,Atlantic Beach, FL 32233 1 / Ph(904)247-5822 Fax(90044)1 247-5845 JOB ADDRESS: I4Ca I C i PERMIT# JEA INFORMATION REQUIRED ON ALL PERMT17SCAGO AMPS Z4 GOLTS _ PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ED Underground up Pole ❑Residential(Main)Service 00-100 amps D101-150amps 0151-200amps []--__--_amps #of Meters_ ❑Commercial(Main)Service ❑0-100 amps 0101-150amps ❑151-200amps ❑ amps 7CTService amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters_ ❑Temporary Pole LJ-MPS SERVICE UPGRADE ❑ amps ❑ CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ 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 101-200=ps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits Qa kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign []Smoke Detmtors_Qly ❑Transformers KVA ❑Motm_hp FIRE ALARM SYSTEM (Requires 3 seta of plans) Qty volts/amps VALUE OF WORK$ REPAHtS/hI.SCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Saaff�ety Inspection ❑Panel Change ❑OH to UG ,(Other U/k ¢�lGL Ji U^I (io6 N((A 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 we and corrwt 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 consmstion or the performance of croswction. Property Owners Nme r H� y zvx t&J%jh, nneWLiq r '� Electrical Company L Yn vxoN El C4k Phone 2-4 Fax Co.Address: 4Z �11' '_F' �h StKCQ , Ci ^ ^ License Holder(Print): S State Certification/Registie 11e�96 Notarized Signature ojLicense Holder GDI�.• Sworn and subscr' ed for s 1 day of L1pF 20 I pa""vrk Nugry a ategnariMMr a ofNotary Public'g�) � '� ! 'n �r urban rry„4 `T A Y ccaanluian EE U4631 an Exgnr OLl Y2017