Permit 41 Coral St elec service upgrade 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
-5814
INSPECTION PHONE LINE 247
jJIT
Application Number . . . . . 11-00003054 Date 12/29/11
Property Address . . . . . . 41 CORAL ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
service change
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Owner Contractor
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SHEPARD, HERSCHEL LIMBAUGH ELECTRICAL CONTRAC
41 CORAL 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 . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 6/26/12
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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 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 109 . 00 109 . 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
JOB ADDRESS: 4( (10raL-, W�t PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS - AMPSq!?D VOLTS 9Z PHASE
VALUE OF WA$ i t0a
NEW SERVICE F� Overhead F-1 Underground ED Underground up Pole
oResidential(Main) Service
00-100 amps 0101-150amps 0 151-200amps 0 _amps # of Meters
OCommercial(Main)Service
0 0-100 amps D101-150amps 0 151-200anips 0 amps OCT Service_amps
Conductor Type Size
OMulti-Family(Main)Service
0 0-100 amps 0101-150amps 0 15 1-200amps 0 amps # of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE r,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 . 3 1-I 00amps 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
OSwimmingPool DSign 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 WORK$
REPAIRS/MISCELLANEOUS
OReplace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change DOH to UG
InOthe :
Permit becomes void if work does not commence within a six month period or woTk 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.
_)40
roperty Owners Name -Phone Number Q(
Company Li M WAAdD Electir CG C614(Cid;OQ TP&e Phone .2-L+I- L-61 Fax
o. Address: �fZ City 1�(_ 6pea he;
Rip
icense Holder (Print): State Certification/Regi
�I—X .I.... 1"1002296
'otarized Signature of ALI
Of
c Aeefore_mathiT�2 ha� f K 2ff)-j-1
3.49 .
Signature of Notary Public'J�Lk ('CLA C"