92 13th Street West Permit (safety-elec) 2010 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 10-00001194 Date 9/29/10
Property Address . . . . . . 92 W 13TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection
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Owner Contractor
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EVANS LIMBAUGH ELECTRICAL CONTRAC
42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 3/28/11
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERmrr APPLICATION
CITY OF ATLANnc BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
C Ph(904)247-5826 Fax-(904) 247-5845
JOB ADDRESS: _i� La S+ h S� - PERmrr#
NEW SERVICE ElOverhead 0 Underground El Underground up Pole
OResidential(Main) Service
00-100 amps 0 10 1-I 50amps 0 151-200amps 0 amps # of Meters
0 Commercial(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
0 0-100 amps 0101-150arnps 0 151-200amps 0 __amps of Unit Meters
OTemporary Pole 0 --amps
SERVICE UPGRADE 0 __amps 0 CT'Sdrvice amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingPool OSign 0 Smoke Detectors_Qty OTransformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire-Ahirm Checklist)
Qty volts/amps VAL UE OF WQAK$
REPAIRS/MISCELLANEOUS
0 Replace Bumt/Damaged Meter Can 2rS"*afety Inspection OPanel Change OOH to UG
0 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
consvuction.
Property Owners Name '=c: ) E\in r) Phone Number -2 CQ
Electrical Company�_j MbD LA-& Be_"I t-jCa t OoM nnCi�n!j hone '2-LQ-q051 FaxD-Liq- M0_S
Co.Address: Li h St Y City8fl6ntic-B66C�0tate F-1 Zip-327-'3-3
License Holder (Print): State Certification/Registration#
Notarized Signature of License Holder
Sworn an before me this 2qL'\cra-y of
- 11 - ELot 20. 10
Signature of Notary Public 06--A C,-.. r, - I lKr