1508 E Park Ter Johanssen Park S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000157 Date 2/08/12
Intersection . . . . . . . . JOHANSEN PARK FOR CITY
Property Address . . . . . . 1508 E PARK TER
Tenant nbr, name . . . . . . JOHANSSEN PARK COAB
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
New 200 amp service for Johanssen park
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Owner Contractor
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CITY OF ATLANTIC BEACH LIMBAUGH ELECTRICAL CONTRAC
42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . NEW ELEC 200 AMP COMMERCIAL SV
Permit Fee . . . . 108 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/06/12
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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 108 . 60 108 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 112 . 60 112 . 60 . 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(
247-5826 Fax (904) 247-5845
Jos ADDRESS: I"
p
(J� PERMIT# 14:2-
JEA INFORMATION REQUIRED ON ALL PERMITS ;LOO AMPS9'-�OLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole iv�
--]Residential (Main) Service
110-100 amps 1101-150amps I 151-200amps amps # of Meters
Commercial(Main) Service
--0-100 amps 1101-150amps 151-200amps :J amps LCT Service amps
Conductor Type Size
I_Multi-Family(Main) Service
0-100 amps ❑101-150amps C 151-200amps _ amps # of Unit Meters
LTemporary Pole amps
SERVICE UPGRADE amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps 150amps i-200amps [ amps I CT Service amps
ADDITIONS,REMODEL ,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 [ ]Smoke Detectors_Qty 'Transformers KVA CMotors 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 r_I Safety Inspection !Panel Change OH to UG
Cl Other:
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. C
Property Owners Name Phone Number lv� IM ��G�l1
Electrical Company ffice Phone"U�' U q* Fax p 7 0�0
Co.Address: City c Stated Zip
License Holder (Print): State Certification/Registration#ErkiFMV
NotaEM
lder
H AMANDA* EISSION#EE 067349 Sworn and subs ibe before t is da o 2012S:May 21,2015 5NdarY publw UrdervrtfleroSignature of Notary Public