Permit 1802 Seminole Rd 2011 elec fire CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Oil
Application Number . . . . . 11-00002752 Date 10/10/11
Property Address . . . . . . 1802 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
remove wiring due to fire
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Owner Contractor
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HUGHES, KATHY LIMBAUGH ELECTRICAL CONTRAC
1802 SEMINOLE ROAD 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/07/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
1OB ADDRESS: ie: ---v2d PERMIT#
INFORMATION REQUIRED ON ALL PERMITS �;06 AMPRglo VOLTS ,. PHASE
VALUE OF WORK S
�EW SERVICE El Overhead Underground D Underground up Pole
OResidential(Main) Service
0 D-100 amps 0101-150amps 0 151-200amps 0 amps # of Meters
0 Commercial(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 amps OCT Service. amps
Conductor Type Size
oMulti-Family(Main)Service
00-100 amps 0101-150amps 0 151-200amps 0 amps #of Unit Meters
oTemporary Pole O_amps
SERVICE UPGRADE 0 amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingPool OSign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WOAK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
e6ther: ;%,,nave ig-tri-oi _�fwrn -i�ice 6secr _ueekwJ 4e) IeStove_
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
"ead 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
;pecified 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
,onstruction.
"roperty Owners Name �X_� Phone Number 4 T75
---Iectrical CompariL MVV_11 rE DECAricc-L Gpn�raai mlk-office Phone 2!�A k–Ci 0'G t Fax
'o. Address: L�2_ U:)t�St city A V, eC—( Zip '32 -33
Jcense Holder (Print): !�4_ State Certification/F egi strati on.4VC13
Votarized Signat e 4 F nd
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MY commissi n DW
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F_),Pifl8$G Pn and sub r bed fo.r th' C C(tc_ V2�1(
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Signature of Not PubliLea_Aj�_�