Permit Elec 583 Seaspray 2011 !.J1�'1
� � fjea
a 70:
>' `� CITY OF ATLANTIC BEACH
`) 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
X3
Application Number . . . . . 11- 00002077 Date 5/13/11
Property Address 583 SEASPRAY AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . 0
Application desc
DISCONNECT FIRE DAMAGED WIRING, HOODUP WELL PUMP
Owner Contractor
DAVIS ANDREW LIMBAUGH ELECTRICAL CONTRAC
583 SEASPRAY AVE 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc . REPAIRS MISC.
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/09/11
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
ill �Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: • - , CX 1-X( .l , � PERMIT # � � ' 101,
JEA INFORMATION REQUIRED ON ALL PERMITS tl) .42..w VOLTS , / PHASE
VALUE OF WORK$
NEW SERVICE E Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
II Commercial (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi - Family (Main) Service
❑O -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
IC
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
E Swimming Pool ❑ Sign 0 Smoke Detectors Qty ❑Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM--( - eq- uir..es 3 sets of plans & Fire Alarm Checklist)
___, VALUE OF WORK $
AIRS/MISCELLANEOUS - - --
D I amaged Meter Can ❑Safety Inspection ❑Panel Change ❑ OH to UG, ❑Other: � �, 1 (.--(j _ � <" _ -
(1 ___ (AI -t(1-7 j i i —I
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() oci f {-'( c) Da_ L.j,' =, Phone Number — ! t I �S •
Electrical Company L_1 t" ■ \'z''_k-- ! E1 tc--t r ( -�, l
7
1 -
�- -� "�?f � r(aC��iifi�e Phone l �} I- � i � > - ;C�Fa � i�� = . C5:::- Co. Address. .
�(
_ %� 1-.( �� City
__ � It �El�l ��� � � C �iG �
ip
License Holder (Print): , 1 4 ; x,. J M, , r State Certification/Re istration #
� t i t g Notarized Signature of License Holder 11 . ,;
Sworn and sub .cribed befo -n this ' y of //o' ( 20 1
Signature of Notary Public X J (< , " ( ' U i - . ! \