303 ATLANTIC BLVD - TEMP POLE S- 1-"-\:-11--
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��' , CITY OF ATLANTIC BEACH
�� 800 SEMINOLE ROAD
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-3735
Job Type: ELECTRIC ONLY
Description: 100 amps/240 volts/single phase temporary pole
Estimated Value: $375.00
Issue Date: 4/11/2017
Expiration Date: 10/8/2017
PROPERTY ADDRESS:
Address: 303 ATLANTIC BLVD
RE Number: 169729-0000
PROPERTY OWNER:
Name: JUNK, SHIRLEY
Address: 915 N 13TH 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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL Cr1'Y OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING:CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904) 247-5845 11- LeC - 39-SS-
JOB
SJOB ADDRESS: 'CJ G 1a N. c ,j6Q • PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 09 AMPS -P---1.i ,VOLTS i PHASE
VALUE OF WORK$ _IT'D
NEW SERVICE ❑ Overhead ❑ Underground [1J Underground up Pole
❑Residential(Main)Service
00-100 amps 0 101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0 101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
09,100 amps 0 101-150amps 0 151-200amps ❑ amps #of Unit Meters
0/T'emporary Pole 0 k(0Q amps
SERVICE UPGRADE ❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0 150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3Oamps 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 OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
0Other:
iNmmmmmmimimmmmsimimmmimmmmsmimmimimmmNimmmi
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 31 ( .,.
iS( L f Sliv+ ��'�
Idumber
Electrical Company U M�J�-l.l �t Y t CCC L 1th hone at k—G QS i Fax
Co.Address: 412 l_lpC55k^ th �'�rcez City A+lG.111 i LeF7eCe FL Zip`.jZ233
License Holder(Print): 0 Irk S. " State Certification/Reg t1o�6022c1L
Notarized Si nature o Li ' e . # ' • I . I ,,I , —
JV
?;A'`��;: ; BARBARA K N`g�LLY ; da 1 1
,a MY COMMISSION 4 t�}'2�1U 'his • A 20
" i .o EXPIRES:March 17 2021 ()cot,`_ L
-:%; ?P,. Bonded Thru Notary Pubtta upiarattore )f Notary Public , VW`, • i