149 Donner Rd elec repair permit CITY OF ATLANTIC BEACH
800 SENHNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
lob ID: 17-ELEC-3300
lob Type: ELECTRIC ONLY
Description: ELECTRIC - REPAIR AFTER FIRE
Estimated Value: $275.00
Issue Date: 2/21/2017
Expiration Date: 8/20/2017
PROPERTY ADDRESS:
Address: 149 DONNER RD
RE Number: 172152-0000
PROPERTY OWNER:
Name: FREEMAN SR, JOYCE M & HAYWOOD,
Address: 149 DONNER 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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
1 �7 ^P�h'�(9�04)247-5826 (904)247-5845 17 _C/ t—n_ O�
JOB ADDRESS: IT`I LKJI'1 r1e.1 247-5826 (904)
n PERMIT` C #..1•
JEA INFORMATION REQUIRED ON ALL PERMITS -(DAMPS 2- WVOLTS _�PHASE
VALUE OF WORK$�w
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main)Service
00-100 amps -101-150amps ❑151-200amps ❑ amps DCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps -I-amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps 1 amps ❑CT Serviceamps
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 Burnt/Damaged Meter Can
/'`
Caann�� ❑Safety Inspec�tion.� []Panel Change ❑OH to UG
LK30re ��t-t-t t'/r: r (l'
Peril 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 state or local law regulation construction or the performance of
construction.
Property OwnersName CI—' R-t�r ,�,,,,,, 11 � Phone.Number
Electrical Comp' \K s CompanyLim r- (-[.r ,
KRiih a rlg -'atmos i
Co.Address: `•i-2 Sf JTI� City t (1 r _Lip �33
License Holder(Print): l h State Certification/RegistraGon#
Notarized Signature of License Holder 2296
rror«v WlMk euro or 4dK+Lor ethi 20
Barbara age Kennellyy �/
y j Ny Commstion EE ae.p➢}gna e of Notary Public T--
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