Permit Elec Safety 151 Levy Rd 2011 CITY OF ATLANTIC BEACH
sA
800 SEMINOLE ROAD
1 ` ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
N4- i
Application Number 11- 00001688 Date 2/16/11
Property Address 151 LEVY RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
unit 1 safety inspection
Owner Contractor
WORKS, W.D. SHIPS DECK LIMBAUGH ELECTRICAL CONTRAC
151 LEVY ROAD 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/15/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY 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
JOB ADDRESS: 151 L\/ ?cJ Un't-4- i 4 ` PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
[11 Residential (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps Cl amps # of Meters
❑ Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps ❑ CT Service amps
Conductor Type Size
Li 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- 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
[1 Swimming Pool ❑ Sign LI Smoke Detectors Qty C7 Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace t/Damaged Meter Can afety Inspection ❑ Panel Change ❑ OH to UG
❑Other: fr DC4 1 eY t �..rai
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 i � (_,,Th ��.� �� � e r Phone Number
2- `- C 1
Electrical CompanyL "1 btedri C ' ro i1 e Phone 241-Ci 06 ( Fax
Co. Address: 2- w►t cfh St rfc City Ai t rat I _Ezip
L icense Holder (Print): P . /. _ ' i„*,/ A State Certification/Registf
3 002296
Notarized Signature of License Holder _ MIR.
R
Sworn and subscr bed b :i ti e m- his / day of 20 C
r
Signature of Notary Public _ . -.,L A _ _ t.■__,Li,.,:_