63 Robert St temp pole 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
JOB INFORMATION:
Job ID: 17-ELEC-3245
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 2/13/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 63 ROBERT ST
RE Number: 172229-0020
PROPERTY OWNER:
Name: TURNER, CLARA MAE
Address: 63 ROBERT ST
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
, EC13002296
Address: 42 WEST STH ST QA 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
P 904)247-5826 Fax (904)247-5845 IT ELEC _37-45
/
JOB ADDRESS: (" 110be1r+-S St . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS,:14ao S �_PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑i Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Maiu)Service
00-100 amps E1101-150amps ❑151-200amps ❑ amps ❑CTService amps
Conductor Type Size
OMulti- amity(Main)Service
❑ 00 amps ❑�01�50amps El151-200amps ❑ amps #of Unit Meters
emporary Pole ❑ amps
SERVICE UPGRADE El------amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT 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 ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qtyvolts/amps VALUEOFWORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑SafetyInspection ❑Panel Change ❑OH to UG
❑Other:
'emit 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
ead this application and know the same to be tme and correct. All provisions of laws and ordinances governing this work will be complied with whether
pacified or not. The permit does not give authority to violate the provisions of any other state or local law regulation constmcaon or the performance of
nnsnuction.
'roperty Owners Namebl 1 fGt Phone Number,n/�7.,.4�CI�'— 12-ZZ--
lectrical company FI f i� P••, �,l,one � ""Il.& Fax
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.icense Holder(Print): le)L State Certification/RegistrbrQ`n
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