134 Ocean Gate Dr elec permit s rS CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
- ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 17-ELEC-3040
Job Type: ELECTRIC ONLY
Description: One of three meters on a 3-gang meter center. 150 AMPS
240 VOLTS 1 PHASE.
Estimated Value:
Issue Date: 1/18/2017
Expiration Date: 7/17/2017
PROPERTY ADDRESS:
Address: 134 OCEAN GATE DR
RE Number: None
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 1671 FRANCIS AVE
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
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
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 UL-J*o
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: Ot PERMIT
JFA INFORMATION REQUIRED ON ALL PERMITS _LSLAMPS ��OLTS PHASE
VALUE OF WORK S
NEWSERVICE 0 Overhead E�JUndergroumd E3 Underground up Pole
[]Residential(Main)Service
0 0-100 amps O*rO I-I 50amps 0 1 51-200amps 11 amps # of Meters
ECommercial(Main)Service
00-100 amps 0101-150amps 0 151-200amps 0 amps OCT Service_amps
Conductor Type_ Size—
E]Multi-Family(Main)Service
00-100 amps 0101-150amps 0 151-200=ps 0 amps # of Unit Meters
OTemplarary Pole D—amps
SERVICE UPGRADE 0------amps 0 CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D100amps 0150amps 0200amps 0—amps OCT SeNice_amps
ADDITIONS,REMODELS,REPAIRS,BUTED-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100arilps
Appliances: 0-30amps 101-200amps
A/C Circuits: 0-60a%ps 61-100amps
Heat Circuits: # circuits (g_____kw
Number of Lighting—outleti,including Fixtures:
OTHER ELECTRICAL PROJECTS
[]Swimming Pool OSign 0 Smoke Detectors_Qry oTransformers_KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qcy volts/amps VAL VE OF WORK S
REPAIRS/MISCELLANEOUS
DReplace BurrulDarnaged Meter Can 0 Safety Inspection OPanel Change DOHtoUG
(:)f` tjjref- Ygfe(s cr\ o YA rQ-ta-
six mitAths. I hereby certify that i nave
ptumit breirmes void if ork does.ot,,n,,,,,re,,ithin a six month period or work' ,, endedorabanclonedfor
ri,ud this application and kno,,the sxmc!�be ,,,,und ,r,,ent. 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 orany other I am or local taw regulation construction or the performance of
co-astrachan. PhiQne NunnberZ4H=2—
Propel ty Owners Namhe;zc��, Ho.u 1.11 1 — i( Fax_
Electrical CompanyU I + one
Co. Address:41 i ate F1 zi
License Holder(Prin State Certification/Regist
Notariz i nature o License er
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isap�031174MI? Si atureofN tary Public