146 LEVY RD - ELECTRIC ,`
- AL
' S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
17•
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: 17-ELEC-2971
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 3 OUTLETS
Estimated Value:
Issue Date: 1/10/2017
Expiration Date: 7/9/2017
PROPERTY ADDRESS:
Address: 146 LEVY RD
RE Number: 171067-0000
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
Switch Outlets $1.80
Trade Permit Base Fee $55.00
Total Payments: $60.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
v
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 x (904) 247-5845 I 7- .LEe z9 7 (
JOB ADDRESS: I I -eu is PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Ice AMPS 7 uQ VOLTS / PHASE
VALUE OF WORD$
NEW SERVICE n Overhead n Underground 1 Ii Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Meters
OCommercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0 0-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps D CT Service amps
•
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 'j 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
0 Swimming Pool D Sign O Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
"IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ .
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change 0011 to UG
❑Other:
.nnit 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
ad 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
ecified 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
.nstruction.
-operty Owners Name IJYaXy-tonriA i4-h Phone Number ?LI 1- 2G6
.ectrical Company Urn h led-r i a J ezt 1trGC7i()l one 24-t--Gc:CI Fax
). Address: �2 U � City l� Cit 1{I G �eto fi—zipzz-s3
cense Holder (Print): A "e 'k S U , �; State Certification/Registr, x##3002296
7Ptari, • , _ . . , . • •, ,,,r
tl jIIVA��1I
. Notary Public State or Florins $
Barbara Kaye Kennely B-' re me thispa 20
+/ My Comml1abn EE 88a631 ardteD C
e
„1 Expirea03H7/2017
••- attire of Notary Public 64•LP1-tti