Permit Elec for HVAC 800 Seminole 2012 ,,; sz CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000568 Date 5/09/12
Property Address 800 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning RES SF DISTRICT
Application valuation . . . 0
Application desc
20 AC CIRCUITS
Owner Contractor
CITY OF ATLANTIC BEACH LIMBAUGH ELECTRICAL CONTRAC
800 SEMINOLE RD 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 125.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/05/12
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 125.00 125.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 129.00 129.00 .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 9 4) 247 -5845
JOB ADDRESS: C rn i n 0 l e Kor
PERMIT #
i
,p
JEA INFORMATION REQUIRED ON ALL PERMIT
40-0. ?Y AMPS VOLTS 3 PHASE
VALUE OF WORK $ &A
NEW SERVICE ❑ Overhead (i Underground nI Underground up Pole
OResidential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
0 Commercial (Main) Service
00 -100 amps ❑ 101- 150amps 0151- 200anips ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
00 -100 amps 0 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0 -3 Damps 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
0Swimming Pool ❑ Sign ❑Smoke Detectors Qty OTransformers KVA ❑Motors hp
FE RE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
:Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑ 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.
Property Owners Name ' -
ame - A\ �CQ +iC ( .C,� Phone Number
Electrical Company 1 1 ran _ ■ k Cjr c ect . ( i T o 24440 S 1 Fax
Co. Address: 42_ eSf h \-reQt> City MCA-041‘(- ErCdatate i9Zip ZZ33
License Holder (Print): i tt i
l 41' 44 I t' , ji State Certificatio
`notarized Signature se�e sta 'J+' .:.�
_� oF Fyrt)CaumMISSion a , c eSav i lAnd s • 4 . � p re�aaro4�nd s bs r �.ed befor is ay . f 1. ,®, 20 1 2_
Cianatnre. of Nntary Pnhlir