Permit Elec 555 Selva lakes Cir 2012 Vp
CITY OF ATLANTIC BEACH
r
4 Ji1):;) 800 SEMINOLE ROAD
J ° ATLANTIC BEACH, FL 32233
ti INSPECTION PHONE LINE 247 -5814
4%r I1
Application Number 12- 00000123 Date 1/31/12
Property Address 555 SELVA LAKES CIR
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
3 outlets
Owner Contractor
CLAYTON THEODORE ET AL LIMBAUGH ELECTRICAL CONTRAC
555 SEVLA LAKES CIR. 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 56.80 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 7/29/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 56.80 56.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 60.80 60.80 .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
t _ Ph (90 ( 4) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 35 L-C�Aces
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS
------ AMPS 7 VOLTS PHASE
VALUE OF WORK $ ! S o, OD
NEW SERVICE Overhead
OResidential ❑Underground ❑T Underground up Pole
(Main) Service
00 -100 amps 0101- 150amps 0151- 200amps 0 am s
❑ Commercial (Main) Service P # of Meters
00 -100 amps ❑ 101- 150ainps 0151- 200atri s
Conductor Type Size p ❑ amps OCT Service amps
❑Multi - Family (Main) Service
00 - 100 amps ❑ 101- 150amps 0151 -200am s ❑ amps # of Unit Meters
❑ Temporary Pole 0 amps p
SERVICE UPGRADE ❑ amps ❑ CT Service
amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0 100 amps ❑ 150amps 0200amps 0 amps OCT Service
amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0- 30amps 31 -100am s
Appliances: 0 -30am s p 101- 200amps
p
A/C Circuits: 0- 60am 31- 100amps 101- 200amps
Heat Circuits: p s 61- 100amps
# circuits @ kw
Number of Lighting Outlets, Including Fixtures: 3
OTHER ELECTRICAL PROJECTS
❑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 $
REPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safetyy Inns ection ❑Panel Change OOH to UG
Other: 1 ^ the t7 «I
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
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
construction.
Property Owners Name
Phone Number
Electrical Company 111 . Ek ` : ain r _ -} l ee Phone
,_-1-.(-- G 0 ' 5 1 Fax
(_ o. Address: L-12__ f A h s+ re ei City b 't ni IC L a
> to F I Zip .
License Holder Print): L L4 �U £t , t St ate
" v , . „, ,,,,
,.� �.� , Certification /)isr x.96
Votarized Sig api" `'of bi nge h, o ,d % q; � ��
tsarba a ! Kennelly
C rY Gor �'sion )8687
° oF a ,1 - xr fe , I �2o wMI any', . ubs ribed before e this 51 da of AO ' 2012
Signature of Notary Public OcL . CL � isomer