335 Dudley 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-3246
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 2/13/2017
Expiration Date: 8/12/2017
PROPERTY ADDRESS:
Address: 335 DUDLEY ST
RE Number: 172337-0000
PROPERTY OWNER:
Name: LAWRENCE, ROBERT
Address: 335 DUDLEY ST
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 1 7—6LE.0-3 Z A-(p
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: -_ - ld& RMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS. /,416OLTS PHASE
J
VALUE OF WORK$— 375.
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps 0C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑9.100 amps1C� O]�,150amps ❑151-200amps 11 amps #of Unit Meters
[9Temporary Pole ❑ t Vamps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps ❑ amps OCT 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
7Swinuning Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAHtS/hHSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OHto UG
❑Other:
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 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 slate or local law regulation constmcbon or the performance of
concoction. -�y1 �p,��p
Property Owners Name 110bert M ✓ce Phone Number
Electrical Company E ;mLone Fax
Co.Address: X42 t m .JF city At��'1C r Lzip W
License Holder(Print): IS State Certification/Registration#
Notarized Signature of License Holder EC 13002296
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