190 SEMINOLE RD - ELECTRIC :. r\1A r
�' S, CITY OF ATLANTIC BEACH
'r '�� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�J.21=d
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3841
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 4 OUTLETS, ONE APPLIANCE AND
CONDUIT FOR FUTURE POOL
Estimated Value: $2,400.00
Issue Date: 4/26/2017
Expiration Date: 10/23/2017
PROPERTY ADDRESS:
Address: 190 SEMINOLE RD
RE Number: 170593-0000
PROPERTY OWNER:
Name: LAWHUN ET AL, SHERI L
Address: 190 SEMINOLE RD
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
rELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
P 4)247-5826 Fax(9,�j 247-5845
JOB ADDRESS: \q0m 1 nde. r bon ct PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS / S9 AMPS (
VOLTS / PHASE
VALUE OF WORK$ 'V - 49
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
0 Residential(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps #of Meters
O Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODEL 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
0 Swimming Pool 0 Sign ❑Smoke Detectors Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/NIISCELLANEOUS
OReplace Burnt/Damaged Meter Can 17 Safety Inspection XPanel Change 0011 to UG
Other: Itt C the 4l 61 ' (1 w lri
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 Namenn i S (3Cdc - Pho - • .er 412--—1 2 I
Electrical Company ril • , 1.t :_1 ., •0 , f a i Qijne s Fax
Co.Address: 147 Lip ii. 4 • }n ileeee CityCti-lar ,{j`C`, tek, .te R Zip 33
License Holder(Print):(Ti t�� S. �� L� State Certification/Registration#
Notarized c���; fA ''" .ke,' ,-,:- 1!i.., lot
1 E�C;130{�?296
;,: k -,: MY COMMISSION#GO417,tO 4 ,AL.
'N��' ore e tilts s 1 20 11
•.r�r.:•'. EXPIRES:March 17,
%Fo�;�� •' Bended Thru Notary Public Underwriters
1.0.1111,11.0.1111,11,1.0.1111,11, �r
- -. - e of Notary Public l