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52 Simmons Rd 2011 Temp Pole CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ? ,. ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 f Application Number . . . . . 11-00002581 Date 9/06/11 Property Address . . . . . . 52 SIMMONS RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMP POLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LIMBAUGH ELECTRICAL CONTRAC 42 WEST 8TH STREET 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 . . 3/04/12 ---------------------------------------------------------------------------- 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 Fax904 247-5845 JOB ADDRESS: 1 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS , PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main) Service 00-100 amps ❑101-150amps ❑151-200amps 0 amps # of Meters ❑Commercial(Main) Service 00-100 amps ❑101-150amps 0151-200amps 0 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 0 amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 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/MISCELLANEOUS ❑Rep! ce Burnt/D, at .ed Meter Can ❑Safety Inspection ❑Panel Change DOH to UG ther: I LaL_ �O 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 Phone Number41 1 222- Electrical Company(3z ne2(`-t-t �q � Fax Co. Address: ' �t City �ZiO) License Holder(Print a+Gri aA State Certification/Registration# • C '�' OR17'f1S310(1(,� 138'76 Notarized Signature of Li Sworn ans b cri e leohis y of 20 Signature of Notary Public