2125 FAIRWAY VILLAS LN S - ELECTRIC SWITCHES } `I CITY OF ATLANTIC BEACH
) 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-3798
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 6 SWITCHES & 3 OUTLETS
Estimated Value: $1,000.00
Issue Date: 4/20/2017
Expiration Date: 10/17/2017
PROPERTY ADDRESS:
Address: 2125 S FAIRWAY VILLAS LN
RE Number: 169398-1042
PROPERTY OWNER:
Name: Martellini, Rebecca L
Address:
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 `7
Ph(904)247-5826 Fax (904)247-5845 I ! - ELEC. -3758
JOB ADDRESS: ,2 1.25 .i( Y I I la _r_r- i'#
JEA INFORMATION REQUIRED ON ALL PERMITS /NO AMPS SW VOLTS / PHASE
VALUE OF WORK$ ovi. ev
NEW SERVICE 0 Overhead ❑ Underground J Underground up Pole
0 Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
0 Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
0Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (p► 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
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/NIISCELLANEOUS
OReplace Burnt/Damaged Met aka
OSafe41114figt
ty Inspection OPanel Change OOH to UG
(Other: 4 iJ+1'/ GR/j/ . in
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 �J�-�-C-: L ' -r I (1 .tPhon r 22C-C— 5520
Electrical Company 1..1 m Eck-r i s Ct4' Il i q 051 Fax
Co.Address: 1-4-2- h r ee City £ ` A tIZip'l3
License Holder(Print): G S. 41 State Certification/Re,$istrt'
Notarized Signature of License Holder 1 i 0 CC � 2296
i
t�ti;�;•Y�,,• ggRBARAK.KENNELLY Be ire me this ••y o 0 _ 20
f .•� i. MY COMMISSION#GG 078254 nn '�
wits.i;i EXPIRES:March 17,2021 S I nature of Notary Public l LL'c . k � 1C. 1^�.l•t.C_,Q,t
'•:?d. .,;;;$ Bonded Thru Notary Public Underwriters i