Permit Elec 1757 Seminole 2011 � CITY OF ATLANTIC BEACH
; ." 800 SEMINOLE ROAD
. ATLANTIC BEACH, FL 32233
"' INSPECTION PHONE LINE 247 -5826
Pi 011.9
Application Number . . . 11- 00001927 Date 4/13/11
Property Address 1757 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
well pump service
Owner Contractor
WELLS LIMBAUGH ELECTRICAL CONTRAC
1757 SEMINOLE 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 . 10 /10 /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 APPLI Trrviv
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
(904) 247 -5826 x (904) 247 -5845
JOB ADDRESS: .
n r1C, t" nrl PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 2° AMP 2 °VOLTS , 1 PHASE
VALUE OF WORK $ 50 - U4)
NEW SERVICE ❑ Overhead U Underground EJ Underground up Pole
E Res i d e 13 " - " - ' - arvice
00 - 100 101 150amps 0151 200amps ❑ amps # of Meters
0 Comme iervice
❑0 - 100 amps 0101- 150amps 0151- 200amps ❑ amps 0 C Service amps
Conductor Type Size
Multi Family (Main) Service
C 0 - 100 amps 01 150amps O 151 200amps ❑ amps # of Unit Meters
:Temporary I amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps O 150amps ❑ 200 amp s ❑ amps OCT Service a
it
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: 44 nirnnitc r. kw
Number of Li Fixtures:
OTHER ELECTRICAL PROJECTS
`Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑ Motors hp
FIRE ALARM < tequires 3 sets of plans & Fire Alarm Checklist)
Qty VALUE OF WORK$
REPAIRSI IISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection 0 Panel Change 0OH to UG
t ther:_ Th WI- - U" Mil PL G lr� 1
Permit becomes vc rnmence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this applicatic..._. _ __ -_ . ____ _____ 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 Ve i do L., i IS Phone Number 2 70-- 1 1 q( 3`
Electrical Compai l___t $ 1 at __ 4 f i ea 1 CaftICCIAne Phon w. 4 — # IPAII1 1 ax
Co. Address: AO lr M11 City F14 10 t1+1( -iCt.. e Ft Zip J 3
License Holder (Print): A. M M State Certification/Re itr3 02296
Notarized Signature of License Holder AMIN J ' _ _ _ _ _ _�__.
I ems` .04 Notary .t= Florida t ' 20
1
Sworn and sui lscribed b•• `t } �bar .y . _ / _ `
}a enet !. 8pf .„ 11{i�il9 :
1 01 /
Signature of Notary Pub •.,,!' _ „1 X j y o f 01
gle