Permit Elec 571 Seaspray 2011 s,f� CITY OF ATLANTIC BEACH
s)
800 SEMINOLE ROAD
-.
L;) BEACH, FL 32233
°`` "� " INSPECTION PHONE LINE 247 -5814
,m 6
-ton �
Application Number 11- 00002761 Date 10 /11 /11
Property Address 571 SEASPRAY AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 2000
Application desc
RELOCATE PANEL AND CIRCUITS DUE TO WATER DAMAGE
Owner Contractor
TUSCANA, DAMIJAN K. LIMBAUGH ELECTRICAL CONTRAC
571 SEASPRAY AVENUE 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc . RELOCATE PANEL
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/08/12
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 ( '-- i Ph (904) 247 - 5826 Fax (904) 247 - 5845 I
JOB ADDRESS: 151 1 r :1 S pr j ( Ue, PERMIT # - 2. --- X (
JEA INFORMATION REQUIRED ON ALL PERMITS 9 AMPS gq1) VOLTS / PHASE
VALUE OF WORK $ a—®696) 6 6
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps 0 C 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.)
❑ 100 amps ❑ 150amps 0200amps ❑ 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 0 Smoke Detectors _Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑ Replace Burnt/Damaged Meter Can ❑ Safety Inspection ifT1 Change ❑ OH to UG
k ther: 'LL, t ,7 0 •4 7 c - - / _ _. _ y'/ _, ad a g _>
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 m t'1 Tl .l S can CI Phone Number SS �� 5 ( 43
Electrical Company Li rvAV" -'�� Ele 1 tf icck, � ontrgci; r(� f . Office phonegC 2MI GC`6l Fax
Co. Address: 42_ (j,. .i 9l I St rest . City A t lcir\f i C Chtate Ft Zip - 3z2 3E
License Holder (Print): _ i(. out, , IS State Certification/Registratio # 0 2296
A��il w EC13
Notariz Signature of L' ' - , Ar iii► '�
a rt ou Notary • ublic State • • . ` i e
O b'd.efore s I y of C Al 20 11
u�� c „ rpires03 / 1112013 h J 1
'�"oF�° wl4 W4rOf 3 _:i t • ..lie .f A 3(R A CA
C