201 MAYPORT RD - ELECTRIC FOR ENTRY SIGN 'r Jai .
(� \_',f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- . �� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\9.219r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2714
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SERVER FOR ENTRY SIGN LIGHTING
Estimated Value:
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 201 MAYPORT RD
RE Number: None
I
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
, EC13002296
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE will ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FI.ORII)1
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904) 47-5845 I 6 `et-€C—z7( 4 .
J� i 1 l �d PERMIT#
JOB ADDRESS: O'L� � PDI tJEA INFORMATION REQUIRED ON ALL PERMITS AMPS C VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead VrUnderground 7 Underground up Pole
jidential(Main)Service
-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
►mercial(Main)Service
0-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) •
❑100 amps 0150amps 0200amps 0 amps OCT 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 0 Sign 0 Smoke Detectors Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other: 49de"`'t - A x % g'/it Ji 1 ` / •
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 Owners Name j
C.--01 ic-t Phone Number 2 { I- 12.2 2 Electrical Company +2 Lt_.-- ZS�`
} h S+re,e..,+: Office Phon^e‘—q05}t Fax
Co.Address: (42 4 .�k Si re`zCit)lt'Kt1i1 C-Eca a'Ce— ip.3z 2 5S
License Holder(Print): at C S. Li. - •� State Certification/RegistratEG 13002296
Notarized •, ,at • , • •, . , . M� .. ti .---
NotaryPublic State of Florida I / 20
Barbara Kaye KenrBofore i e this • il• •
CN,,0 My Commission EE 884831 I
of r,.0. Expires 03,1712017 •, •t ,e of Notary Public _ ,...41___I >LL -