1731 Seminole Rd elec permit 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
]OB INFORMATION:
Job ID: 17-ELEC-3147
Job Type: ELECTRIC ONLY
Description: ELECTRIC -REPAIR
Estimated Value:
Issue Date: 2/1/2017
Expiration Date: 7/31/2017 _
PROPERTY ADDRESS:
Address: 1731 SEMINOLE RD
RE Number: 169642-0000
PROPERTY OWNER:
Name: LAURIN, SUZANNE R
Address: 10378 NW 6TH CT
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
EC13002296
Address: 42 WEST STH ST CIA ALEX S. LIMBAUGH
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
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9 2247-5826 Fax(904)2 7-5845 r 7-ELc�.`3 k 4`7
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JOB ADDRESS: `� J Sinn nole LOO PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _INAMPS CAO VOLTS _�PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
00-100 amps 0101-150amps 11151-200amps ❑ amps [I CT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ! 101-150amps 1:1151-200amps ❑ amps #of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150t mps ❑200amps ❑ amps 0C 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 ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burra/Damaged Meter Can ❑Safety Inspection []Panel Change ❑OH to UG ""
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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 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 ofany other state or local law regulation construction or the performance of
construction. ' ,, . r /+G /' �+
Property Owners Name ..J�-tC- L.j1"' ( n Phone NumberQA5 -to-b^ DD(6-2-
Electrical
02Electrical Companyl ce PhoneLy'�— OS( Fax
Co.Address: �� `h t� }.V r eet - City At ICBG
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License Holder(Print): �7, S• State Certification/RegistraEC �
Notarized Signature of License Holder I 164M
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