1946 BEACH AVE - ELECTRIC iVr
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CITY OF ATLANTIC BEACH
— 800 SEMINOLE ROAD
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J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3414
Job Type: ELECTRIC ONLY
Description: replace mast head on line side of service
Estimated Value:
Issue Date: 3/3/2017
Expiration Date: 8/30/2017
PROPERTY ADDRESS:
Address: 1946 BEACH AVE
RE Number: 16954.2-0598
PROPERTY OWNER:
Name: PORTNOY, DANIEL
Address: 77 19TH ST
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
, EC13002296
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: - -
FEES:
Electrical Repairs $35.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
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+ Ph(904 247-5826 Fax(9 4) 247-5845 1�-" ELL L— 3`l (9
JOB ADDRESS: J"I, rh PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 6AMPS P.( ( VOLTS ` PHASE
�,� VALUE OF WORK$
NEW SERVICE LSI Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
D0-100 amps O 101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
UMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps C amps OCT 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 0 Sign 0 Smoke Detectors Qty Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace t/Damaged Meter Can ❑Safety Insp��ection l_Panel Change ��❑OH to UG
[aa4ther: �.� t o 1 A,cQ �^'1�� Lt S .
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 state or local law regulation construction or the performance of
construction.
.
Property Owners Name 1 Utt ({ Y\O Phone Number
Electrical Company U rnb r1 _il It . ' 'one C5( Fax
Co.Address: 42 Lk :ON r . City P t 4te «/,i 1,32233
License Holder(Print): G i k S.
It
�� State Certification/Regi Lr i.Qt #hnG'It1Notarized Signature o License Holder I 1•�
04.0
ky NotaryBarbara KaPublicye StatKennela of Flfo me this W /_ day of CL\.-C� 20
'4%,„ E Commission 17 884631. �C-a e,` 1K . I
,r�,o• Expo:o�nr2ot� Sign..ure of Notary Public ` 1�-- l