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96 W 3rd St temp pole 2011 r ff� CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002667 Date 9/22/11 Property Address . . . . . . 96 W 3RD ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMP POLE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEACHES HABITAT LIMBAUGH ELECTRICAL CONTRAC 1671 FRANCIS AVE. 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 241-1222 (904) 241-9051 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/20/12 ---------------------------------------------------------------------------- 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 Fax (904) 247-5845 .TOB ADDRESS: t "�� S} �('1' S rff:t PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 49 AMPS WO VOLTS PHASE VALUE OF WORK S NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential (Main) Service P-0-100 amps ❑101-150amps ❑151-200amps Elamps # of Meters ❑Commercial(Main)Service ❑0-100 amps 11101-1 50amps ❑151-200amps ❑ amps ❑CT Service amps Conductor Type Size ❑Multi-Family(Main) Service [IV 00 amps ❑ 0 150amps ❑151-200amps El amps # of Unit Meters emporary Pole tamps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) 11100 amps ❑150amps ❑200amps ❑ amps DCT 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 G 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$ REPAIRSIMISCELLANEOUS ❑Replace Burnt/Damaged Meter Can []Safety Inspection []Panel Change I]OH to UG Other: 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. t Property Owners Name &C,l_, s lC� ��� .— Phone Number'j U G Electrical Company9k 1 _I eci, Ccni CC-ICA Ice Phone,-Z(4-(`-Cj'OS i Fax Co. Address: City int lCi ni is State Zip 5 License Holder (Print): �k State Certification/RegistratioE3002296 Notarized Signatur ,�,Rr r Notary pualic Sts�te sof Florida Barbara►c �ae> +nl sub ribed f11717,this 2 day of 20 � � ;, • Mt Curriton MMS t 4OF M1 ExoirGs :uzoj r ry Public tp �,.rCtr. C�_ C_ 1� -C