1519 Jordan St temp 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: 247-5614
]OB INFORMATION:
Job ID: 17-ELEC-3221
Job Type: ELECTRIC ONLY
Description: temporary pole -60 amps/240 volts/single phase
Estimated Value:
Issue Date: 2/9/2017
Expiration Date: 8/82017
PROPERTY ADDRESS:
Address: 1519 JORDAN ST
RE Number: 172297-0000
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY
Address: 797 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
, EC13002296
Address: 42 WEST 8TH ST CIA ALEX S. LIMBAUGH
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
`
Ph
(90-4)72-47-5826�Fax
�(904)2,47-58T45
,TOB ADDRESS: I6(`I 1nrd c_ I Stl � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS cW VOLTS _�PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Service
00-100 amps 7101-150amps ❑151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps -1101-150amps ❑151-200amps ❑ amps ECT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
OJK100 amps ❑,]01650amps 11151-200amps ❑ amps #of Unit Meters
[Wemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 11150amps 1:1200amps ❑ amps I1CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUHA-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can El Safety Inspection ❑Panel Change ❑OH to UG
'. Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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 sate or local law regulation construction or the performance of
construction. y�,,,, �� �� l
Property Owners Name P'C�f tCJ 1�1G h kfet /� y Phone Number
Electrical Companyu^�n-02(-+-ll l �(' rt COLA-L(�}I'(j('Tjr'N ce Phone - `ACSIt- Fax
Co.Address: [_ d n �"I 2t �Ciity Q'FkC n & R Zip3ZZ33
License Holder(Print): 1,onk S. State Certification/Regit t�io 5002X96
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Notarize
eOO NoWq Pubic SYb d FIonEF
P Barbara Kaye Kennell�w,o and subs 'be efo this of 20 1 1
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ay Coovn r EE W65 1 //•� y- �, ,, - p—/� I
�a DpftA oalrya n7 a Of Notary Public