1018 MAIN ST - ELECTRIC CITY OF ATLANTIC BEACH
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f 800 SEMINBEACHO, LEFL R32OA33D
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ATLANTIC 2
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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-3887
Job Type: ELECTRIC ONLY
Description: change panel
Estimated Value: $900.00
Issue Date: 5/4/2017
Expiration Date: 10/31/2017
PROPERTY ADDRESS:
Address: 1018 MAIN ST
RE Number: 170996-0200
PROPERTY OWNER:
Name: EVANS, JODEE
Address: 63 37TH AVE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BUILDING CODES.
3
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 11. ELLL-38
JOB ADDRESS: in`2 m 111 Si-teft PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS c9.001MPS coVOLTS c1,2'--(--nPHASE
VALUE OF WORK$ `-'I v. co
NEW SERVICE ❑ Overhead n Underground (71 Underground up Pole
Residential (Main) Service
10-100 amps 101-150amps 151-200amps _ amps # of Meters
Commercial (Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps _amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service__ amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 00amps 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
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FIRE ALARM SYSTEM (Requires 3 sets of plans) N
• VALUE OF WORK$ w
' EPAIRS/MISCELLANEOU. f_
Replace Burl i: aged Meter Can Safety Inspection anel Change OH to UG W 1
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Other: w
.
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 INA*,
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 w i,i2,`,°
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performar o •
construction. •'%'' 't
Property Owners Name �O ate_ FiDO IS Phone Number q
Electrical Company Li rn _ h 'E�- viC nth 2-ft Go5(Fax
Co. Address: +2 JJeS Shseek City it ICLCI t(rs-Cf6fal1 ��Zip X 35
License Holder(Print): AP , Alt
�!�..,,... State Certification/RetiVO2296
Notarized Signature of License H e ' 1144_Ai n _
egY:Fk,, BARBARA K. NNELLY �d .0 SCr sed before is dayof 20 11
\A MY COMMISSI0IH et
:, EXPIRES:Mar »,2021 Notary Public t•--(-;�- (1 � '� .�
V,tp.;,`.q".•.• Bonded Thru Notary �(