201 Mayport Rd elec permit for mail kiosk - IyLy
rf �Jr
CITY OF ATLANTIC BEACH
j 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-3503
Job Type: ELECTRIC ONLY
Description: install 1 outlet/switch >30 amps & 2 outlets &fixtures for
mail kiosk -60 amps/200 volts/single phase
Estimated Value:
Issue Date: 3/17/2017
Expiration Date: 9/13/2017
PROPERTY ADDRESS:
Address: 201 MAYPORT RD
RE Number: None
PROPERTY OWNER:
Name: HABITAT FOR HUMANITY OF JB INC
Address: 1671 FRANCIS AVEL
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
,EC13002296
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
Phone: -
FEES:
Lighting Outlets, Including $1.20
Fixtures
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Switch Outlets $0.60
Total Payments: $60.80
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(9904)2447-X58,,26 Fax(904)247-5845
7
JoB ADDRESS: C i r I(mta c+ 24 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _�pAMPS 24t1/1' VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead E/Undergra ad ❑I Underground up Pole
❑Residential(Main) Service
00 100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters
eC mmercial(Main)Service
/ -100 amps 0101-150amps ❑151-200amps ❑ amps 0C Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps DCT 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
FID ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace BunnDamaged Meter Can DSafety Inspection ❑Panel Change ❑OH to 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 state or local law regulation construction or the performance of
construction.
Property Owners Name S' I'�HGJ)l1�f^^l--'��,, � '' ,, Phone Nmnber
Electrical Company M ��1 ily l.(.TIIYOC64c?e>h ne `1( CKAI Fax
Co.Address: 1 "CFf CitvA+1anti �o e —L-Zip
—Zip�Z33
License Holder(Print): S. Lt State Certification/Re� IAtpnrw2296
Notarized Signature of License Holder M
aM,y Puurost.t.ari fo me this / KCLXC�-- 20
Barbara Kaye Kemlely
y W comma.wa eE W&Sign tae of Notary Public
1 vj Eapin.0al11na1] �—