Permit Elec for HVAC 1671 Francis 2012 . i CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
______""
r ,� ATLANTIC BEACH, FL 32233
��
y,,.: INSPECTION PHONE LINE 247 -5814
Application Number 12- 00000570 Date 5/09/12
Property Address 1671 FRANCIS AVE
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
a/c circuits for new hvac systems
Owner Contractor
CITY OF ATLANTIC BEACH LIMBAUGH ELECTRICAL CONTRAC
800 SEMINOLE RD 42 WEST 8TH STREET
ATLANTIC BEACH FL 322335428 ATLANTIC BEACH FL 32233
(904) 241 -9051
Permit ELECTRICAL PERMIT
Additional desc . AC CIRCUITS
Permit Fee . . . 83.00 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 83.00 83.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 87.00 87.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
----- larz 4,441/, '
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
6 h (904) 247 6 Fax (904) 247 -5845
JOB ADDRESS:
1t 4./
PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS ace AMPS C 1:S,G VOLTS ____/_____ PHASE
VALUE OF WORK
NEW SERVICE Overhead
OResi:dential ❑ Underground D Underground up Pole
(Main) Service
00 -100 amps ce ery
0 101- 150a.m s 0 151- 200a
❑Commercial (Main) Service p mps ❑ amps # of Meters
00 -100 amps
P 0101- 150atnps ❑ 1 51- 200amps ❑ - _____
amps OCT Si
❑Multi -Family Size amps
Conductor Type
y (Main) Service
00 -100 amps 0� 1 a0amps 015 1- 200amps ❑ s
O Temporary Pole 0 P # of Unit Meters
p
SERVICE UPGRADE ❑
amps 0 CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps 0 amps -- P OCT Service cps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES
Outlets /Switches: �_0 - 3Oam s ,ETC.
Appliances: p ___ .______31 100amps
J!` 0- 30amps __31- 100amps 101 200amps
A/C Circuits:, 0- 60amps 61- 100amps -- 101- 200amps
Heat Circuits: /(V -( ,
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS '
❑Swimming Pool ❑Sign ❑Smoke Detectors
Qty ❑Transformers _ KVA ❑Motors
FIRE ALARM SYSTEM hp
Qty (Requires (Reciuires 3 sets of plans & Fire Alarm Checklist)
REPALRS/MISCELLANEOUS VALUE OF WORK $
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection °Panel Change OOH t
o UG
00ther:
'emit becomes void if work does not commence within a six month period or work is suspended or abandoned All provisions of laws and ordinances governing this work will
onstr or not. The permit does not give authority to violate the provisions of any other state or local re for six months. I hereby certify that I have
ad this application and know the same to be true and correct.
pecifi d o 1 jo be complied with whether
regulation construction or the performance of
ropey Owners Name � _
ntI Ctryf i -B ac e.) Phone Number
lectrical Company ' m k�C .h � 1 `� ��('j
teC ri cCC�.L �n r c.k' l flee Phone 2. } ( �;
o. Address: 42 �-- 5 S4 h E Fax
ree City 4-I- IaaI k:IS"r
sense Holder (Print): Xr�� State Zip �� 3�
otariZed Signature of i "1/4" Ly a t° ` r a: �
, State Certification/RegistrationF#C 1302296
l My Comm ssion DD :6 78 " �
‘ofd S ' h A
r t 'a 1We4 & sub c i ll . efor e me ``rta of
Y i/_ 20 12
Sianntnrp. of Nntary Prnhlir
2CrC�C— 9