137 10th St elec panel change out permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)rr DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3318
Job Type: ELECTRIC ONLY
Description: ELECTRIC - PANEL CHANGE OUT
Estimated Value: $1,200.00
Issue Date: 2/23/2017
Expiration Date: 8/22/2017
PROPERTY ADDRESS:
Address: 137 10TH ST
RE Number: 170253-0000
PROPERTYOWNER:
Name: LOWE, ROGER A
Address: 137 10TH ST
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERIM IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH 011DINANCES AND ME FLORIDA
BUILDING CODE&
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Adantic Beach, FL 32233
Ph(904 24716 Fax(904) 247-5845 17 -ELcc--3-3 1
2
JOB ADDRESS: —PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS --L��- s -,-2LA- &,bLTs PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead Ej Underground Ej Underground up Pole
OResidential(Main)Service
00-100 amps 0 101-ISOMPS 0151-200amps 11 maps 4 of Meters
OCommercial(Main)Service
(10-100 amps 0101-150amps 11 151-200amps 0 amps 0 CT Service_amps
Conductor Type Size—
OMulti-Family(Main) Service
00-100 amps 1101-150amps 151-200amps 0 amps #of Unit Motors
[]Temporary Pole El amps
SERVICE UPGRADE 11 mps 0 CT Service_maps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100amps 0150amps 0200amps 0____amps [ICT 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: A circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
DSwimmingPooI 0 Sign F1 Smoke Detectors__Qty 117'ransformers KVA OMotDrs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps— VALUE OF WORK S
REPAIRSIMISCELLANEOUS
ElReplace Burnt/Darmaged Meter Can DSafety Inspection kItmelChange iOH to UG
00ther:
Pennit becomes void if work doesma wannence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
mad this application and know the sams,to be true and correct. All provisions of laws and ordinances goveraing this work will be complied with whether
specified or not The permit does not give authority to violate[be provisions of my other at=or local law regulation construction or the performance of
construction.
PropertyOwnersName"Row Lc?w-e' Phone Number -633— HA0
Electrical Compartyu iOrj (Zr)bUC01-e)Phne-ZL�j-qL6 ax_
Co.Address: 42 97MIC t City J�j ICAnt —62)4�-Rzip'37--e-3
License Holder(Print): State Cerfification/Registratto
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Notarized Signature OfLicense Holder
a=�:'eef' MC this 20
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Mycanmw�EE85463iSig ture of Notary Public— C.A 6�<- aL�
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