Permit Elec 319 12th St 2011 V , 1, :. ` CITY OF ATLANTIC BEACH
,r) ( 800 SEMINOLE ROAD
`-� ATLANTIC BEACH
FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 11- 00002254 Date 6/23/11
Property Address 319 12TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
CIRCUT FOR WELL PUMP
Owner Contractor
HUDSON LIMBAUGH ELECTRICAL CONTRAC
319 12TH STREET 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc . CIRCUIT FOR WELL PUMP
Permit Fee . . . 55.60 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/20/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 55.60 55.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 59.60 59.60 .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
nn Ph (904) 247 -5826 Fax (904) 247 -5845 c:29 7 — 5S j 44
JOB ADDRESS: • ' Sig 1 h - _ - -- , , .
PERMIT # 7 - 2 Z S`Zj
JEA INFORMATION REQUIRED ON ALL PERMITS d AMP' QL VOLTS ,
PHASE
VALUE OF WORK $ 7S 0 - a
NEW SERVICE ❑ Overhead ❑ Underground ED Underground up Pole
:Residential (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps 0 amps # of Meters
❑ Commercial (Main) Service
00 -100 amps 0101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
00 -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.)
it
0100 amps 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 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/M1SCELLANEOUS . ---
0Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Other: 0 - - / V 2.0 4773 .lam / C /o'4/1, 5
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 csh-c/t ► Cam" Y H Ud -.11— n Phone Number 1 SC:G
Electrical Company L. m �h Fle o-l1 Colfireckonlit Phone 4 +
o e 2- ( 1 Fax
Co. Address: _AL.. • t (r N 1 t -E City "tQ tIEC__ 2 d Fl Zi0223
License Holder (Print) 9 '! 79 _ State Certification/Regi
Notarized Signature o License : dr e a�a.E I rt sic 4
Y o, issionID8:!' 81
_. ill •i. 1st i. ed Ado ' this l of ,../7 20 1
iv
Signature of Notary Public JL C.` CtJr c r� ti U ,