Permit Elec 310 Pine St 2012 ii ! A,v
CT ' CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
, t4i
Application Number 12- 00000477 Date 4/24/12
Property Address 310 PINE ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
PANEL CHANGE
Owner Contractor
HIXON WILLIAM S LIMBAUGH ELECTRICAL CONTRAC
310 PINE STREET 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 10/21/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
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 (904 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: - 3 10 B ne .meet
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS ( q
AMPS V t e� Z VOLTS PHASE _4_
VALUE OF WORK $ e : OD
NEW SERVICE ❑ Overhead n Underground g ❑I Underground up Pole
OResidential
(Main) Service
❑ 0 -100 amps ❑ 101- 150amps 0 151- 200amps ❑ am s
0 Commercial (Main) Service P # of Meters
00 -100 amps 0101- 150ainps ❑ 151- 200ani s ❑ a
Conductor Type Size p amps OCT Service amps
OMulti- Family (Main) Service
00 -100 amps 0101- 150amps 0151 -200am s ❑
s p amps # of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Service
amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT Service
amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0 -30am s
Appliances: _0 -30am s 31- 100amps 101- 200amps
A/C Circuits: 0- 60amps 61- 100amps 101- 200amps
p 61- 100amps
Heat Circuits:
# circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers
KVA OMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK$
RE PAIRS/MIS CELLANE OUS
OReplace Burnt/Damaged Meter Can OSafety Inspection I, 'anel Change OOH to UG
0 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
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
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
.onstruction.
Property Owners Name "jG gp n i ---- 1 O e j _ Phone Number J.,(-4 q - Cil ?5
hlectrical Company Lt rn he— beci-.n aT}raeuns)46ice Phone Z.'{ I -G 051 Fax
^._ o. Address: i}2 L3est -:4-h S rret Cit Aik -4-
Y Ctch State Fl Zip "22.33
License Holder (P ' t k ,,,, J ,„ a,...`u 4. -
State Certificatio s " • flfl (�
. fir Po. Notary Put) ,c State 1 I i .V I % r - ��+C, 7 �
Votarized Signs 1crI$p�yy. � l J � ,�
G o" M Comm tSp = /i'... P
hoc ft°` Exp res oar is t 1126 3 ��
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e this da f ap'L. 20 12 —
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