Permit Elec 319 12th St 2011 (2) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002862 Date 11/08/11
Property Address . . . . . . 319 12TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
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Application desc
RELOCATING APPLIANCES , NEW APPLIANCES
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Owner Contractor
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HUDSON ASHTON LIMBAUGH ELECTRICAL CONTRAC
319 12TH STREET 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . RELOCATE CIRCUITS
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/06/12
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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��7-5826 Fax (904) 247-5845
JOB ADDRESS: h PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS gvp AMPS t4�'W VOLTS PHASE
VALUE OF WORK$ 61D
NEW SERVICE El Overhead F-1 Underground ED Underground up Pole
OResidential (Main) Service
00-100 amps 0101-150amps 0 151-200amps -amps # of Meters
0 Commercial(Main)Service
00-100 amps 0 10 1-1 50amps 0 15 1-200amps O_amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0101-150amps 0 151-200amps O_amps #of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 __wmps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps —10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimming Pool 0 Sign OSmoke Detectors_Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
kother: .Allvaa64�w ivojj�_ ef"'O� -e4pv 17 6411to ?4 41
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 NamCb-�cr) +Iudso n Phone Number
Electrical CompanyLi M&Aj�A& 'Bf!CA6 0a eoedjArfir-A: )c.OfficePhone Z41- C1051 Fax
L42 L_A- -1;tate T�71 zip '��-33
Co. Address: )j2!S+ �+h S+V-ee, city Ai 1an4iCBMCV
License Hold Prinfi- State Certification/RegistrE'MlVlnn!2!2
Notarized ' ' ..o
EXPIRE y 21,2015
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