Permit new elec 2012 11 3020 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00003020 Date 3/13/12
Property Address . . . . . . 800 STOCKS ST
Application type description SINGLE FAMILY ATTACHED DWELLING
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 75000
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Application desc
NEW SINGLE FAMILY ATTACHED
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Owner Contractor
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BEACHES HABITAT BEACHES HABITAT
1671 FRANCIS AVE. 1671 FRANCIS AVENUE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-1222 (904) 241-1222
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . LIMBAUGH ELECTRICAL CONTRAC
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/09/12
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Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/2009 REVISIONS
NATIONAl ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start of construction.
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITYS(WAA§WiiEA'AP&Dt'�R469WIFfHE FLOR13M 0 0
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 11-00003020 Date 3/13/12
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 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
2-
<gC)c((s
JOB ADDRESS: cc PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS lfp AMPS 11W VOLTS PHASE
VALUE OF WORK$ '�Mnvlf
NEW SERVICE 7 Overhead Underground ED Underground up Pole
YResidential (Main)Seirvice
�_00-100 amps 01-150amps 0 151-200amps O_ampis # of Meters
OCommercial(Mai Service
00-100 amps 0 101-150amps D 151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main) Service
00-100 amps 0 10 1-15 Oamps 0 151-200amps 0 arnpis of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0— amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps O—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 0 Sign OSmoke Detectors_Qty OTransformers KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Bumt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
El 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,C 4-
Property Owners Name 6r_ I U-k- Phone Number 214 1- I Z 2-2-
'( 0- __1 " S I Fax
Electrical Company U Y-n�XL C' -Cr k r i ("n �6hone ZQ I- CiOL
h city A-i (c n ti'c 6ec&6 F�zip
Co. Address:
License Holder(Print): State Certification/RegisfiC-94 3002296
Ig U...&L
Notarized,S* nat
-10T10d
N tL1 Or P
otary PUbhc
Barbara K 11
MY c,M3TA&dw4 sub ibel before me th�s day of Zj�C-A C-1 20
Expires 030112013
%OF
ary Public 10 16 t'_r_k_
07/13/2012 13:23 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC 13EACH
Electric power is requested now under the conditions and terrns of this fall y executed Agreement&Release
Job Address:
Permit No. Service Type(Cimle One): Overbead (ndDerrgroun
We)the undersigned General Contractor and Electrician,understand and agree:
1,: "F=ly Power" is urely for our construction convenience, it is not required by Codes and does Mt
substitute for Final inspections or the C/O(Certificate of Occupancyyffiat must be issued beibre occupancy,
and as such is at the dikretion of the Building Official..
2. The City of Atlantic Beach will make a special inspection prior to the earlY Power energizing. All rough
inspection$must have prior Approval, inchiding moto base connections.
3. Occupancy or use of the upw construction before a formal C/O constitute$ fraudulent use of the early
electric service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Early Power release authority is the ElecHcian.and/or the Contractor and must not occur before:
a. Equipment, devices mid fixtures are installed(or blanked oft)safety.
b, Panel is complete with breakers and cover,and(labeling required at final inspection).
c. Service connection and grounding is complete.
d, The electric system has seely passed thrdugh electrical check.
e. Motor can is ermanently iniErked with addiess.
f Temporary adpdress miiAcrs displayed(Permanent numbers are required for C/O).
5. 'njis fully completed form is to be submitted to the Building Department by hand,mail or fhX
6. Future sucb Agreements will not be accepted from those who ViOlSite any one of the above items.
CONTRACT011 DATE `7 T.I.,
U2
PRINTNAME
ELECTRICIAN DATE 7j 1 LLL2-
PiUNT NAME
800 Senjinole Road,Atlantic Beach FL 32233
Phonc:(904)247-5826 Fax:(904)247-5945 http;/jwww,coe1b,ki,,, revised 0130 09