Permit Elec 307 Atlantic 2011 Ike , s, CITY OF ATLANTIC BEACH
s v
" _ 4 s 800 SEMINOLE ROAD
5 ' r ATLANTIC BEACH, FL 32233
1� t S) INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002051 Date 5/09/11
Property Address 307 ATLANTIC BLVD
Tenant nbr, name AL'S PIZZA
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
REPAIR BURNT SERVICE LINE SIDE 200 AMP 1 PHASE
Owner Contractor
JUNK MICHAEL LIMBAUGH ELECTRICAL CONTRAC
915 -13TH ST. NORTH 42 WEST 8TH STREET
JAX BEACH FL 32250 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc . REPAIR BURNT SERVICE 200 AMPS
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/05/11
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
J' 800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax 904) 247 -5845
JOB ADDRESS: - J CH - 1(i_ 1 1 C 131 • PERMIT # /
JEA INFORMATION REQUIRED ON ALL PERMITS "-'- AMP3z- C"D
Q ��� : � VOLTS ,__ 4 PHASE
VALUE OF WORK � Oe9(�,, /� �
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
:Residential (Main) Service
00 - 100 amps ❑ 101 150amps 0151 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
00 - 100 amps ❑ 101 150amps ❑ 151- 200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi Family (Main) Service
❑0 - amps ❑ 101 150amps ❑ 151 200amps 0 amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service _a
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
❑ Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS ---
:Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG Ai
:Other: /#/1 ' / Mid � / / ir' �. - i �� 1 � %� %t
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. A Property Owners Name A I I f 1' if fi t_ -' f Phone Number cC L-}-1 CL)
Electrical Company Li (i 1 hC10.0') n v tC 1 Co,- rt roct q r l fiZr"e Phone L A \ - C'1 O 1 Fax
Co. Address: / 1 't 1 � �� l Si t -et- City /AA �Ctr ,`l►�= �'CIC'hState n Zip �-;,,,;
License Holder (Print):)( • I ; 0 j; State Certification/Registrati
dig, 13002296
Notarized Signature of License
4 tY Pp 0 . K
# i raKaty
�os ,l�asrrt s*tfo ° , - is lir day of Y" L, - 20 I
444 t oe Expires 03/11/2013
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