372 10th St 2012 Elec oh to ug CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
04,
INSPECTION PHONE LINE 247-5814
C
Application Number . . . . . 12-0000049S Date 6/20/12
Property Address . . . . . . 372 10TH ST
Application type description RESIDENTIAL ADDITION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 50000
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Application desc
ADDITION AND REMODEL
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Owner Contractor
------------------------ ------------------------
FLETCHER JULIA TRUST EASTERN SHORES CONSTRUCTION
800 GRAYDON AVE B3 1015 ATLANTIC BOULEVARD
NORFOLK VA 23507 ATLANTIC BEACH FL 32233
(904) 545-7878
--- Structure Information 000 000 ADDITION AND REMODEL
Construction Type . . . . . TYPE 5-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
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Permit . . . . . . ELECTRICAL PERAIT
Additional desc CHANGE FROM OH TO UG
Sub Contractor LIMBAUGH ELECTRICAL CONTRAC
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/17/12
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Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 NkTIONA1 ELECTRIC CODE
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
*REPORT ANY UNFORSEEN STRUCTURAL DUAAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
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 --ity right-of-way.
Contact Public Works (247-5834) for Erosion and Sediment
Control Inspection prior to start Df construction.
Concrete driveway apron must be 511 thick, 4000 psi, with
fibermesh from the edge of pavement to the property line .
Reinforcing rods or mesh are not allowed in the ROW.
Full right-of-way restoration, including sod, is required.
PERMIT ISPA9ARlOVVXf4NEiPAtA�B#WANC'IPYJPfWIAVLLnt%VO?b,�"LqPTIF��AVCtP&Ai*RKPA "S�TiE FLORIDA
BUILDING CODES.
N CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00000495 Date 6/20/12
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Special Notes and Comments
and container cannot be placed on City right-of-way.
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STA E ELEC DBPR SURCHARGE 2 . 00
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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 ATLANTK,BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: �5-7cq-, (-j h PERMIT# C)H
JEA INFORMATION REQUIRED ON ALL PERMITS I-A9 AMPS !ZfV VOLTS PHASE
VAL UE OF W01 K$
NEW SERVICE F-1 Overhead Underground Underground up Pole
[]Residential (Main) Service
110-100 amps El 10 1-15 Oamps El 151-200amps []_amps #of Meters
E Commercial(Main) Service
110-100 amps 1110 1-15 Oamps 11 151-200amps El amps 0 CT Service amps
Conductor Type Size
LIMulti-Family(Main) Service
1:10-100 amps E 101-150amps E 151-200amps []_amps # of Unit Meters
[]Temporary Pole El_amps
SERVICE UPGRADE 11 amps El CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETQ)
11100amps E150amps 11200amps 11 __amps 11CT Service amps
ADDITIONS,REMODELj> PAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: �0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: (r":4
OTHER ELECTRICAL PROJEqTS
[]Swimming Pool El Sign Asmoke Detectors_:�' Qty E Transf)rtners KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can El Safety Inspection []Panel Change El OH to UG
1P - -
L6 e,�W Xr <t 5-eJ4
Yother: pAZtl
Permit becomes void if work does not commence within a six month period or�work is s,spended 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 an,I ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any othet state or local law regulation construction or the performance of
construction.
Property Owners Name.DL40f-c Phone Numbe
kAq
Electrical CompanyGMb0A-L&& UeCtdOaL &fmcfi no�iCce Phone 94 I-Cl 651 Fax
Co.Address: '14-h. S-treCt city Al ICAE)HC &CLGhteEj_Zip--'SZ233
License Holder (Print): A State Certification/Regist
Notarized Signatu&1111111111l�111111"",111�,ri
�,pVr Pt, Notary Public State of Flo4ricla fd
Barbara KS 'S a 8�;1 SU, rib befoi:5
y mm i W"M jAq,sub -w5 this—EZ�4Yay Of JCtXk— 20_12
My commis.",
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09/12/2012 07:54 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
EARLY POWER AGREE]4ENT & RELEASE
CITY OF ATLAN-71C BEACH
Electric power is requested now under the conditio
ns and tOmli Of this fully executed Agreement Release
Job Address:
In
Permit No, ser4e Type(Clmle One): overhead U dargr7)
Tdarground
We,the undersigned General Contractor and Electrician,tin ei I�stand and agree:
I
L "Early Power is gurely for our COtiStruction conveniel it is
substitute for Fil not required b
e.or LlccupancyTffiat must be issued b&6;oocupaidc7,
spections or the C/o(Certifi y Codes and does not
d as such is at the diicre-don of the Building Official.
an cat
2. The City of Atlantic Beach will make a special inspect prior to the early power energizing. All rough
inspections must have prior Approval,including meter b alos connections.
3. OCCUIXincy or use Of the 110w c
.0tistruction e re a fb- 41 C/o constitutes ftaudulent use of the parly
electric service. Such action is expressly hibIted d penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement a 11 result in a request for prompt removal of electric service
after a twenty-four hour notice.
4. "Early Power"release audlority is the Electrician and/I or flic Contractor and must not occur before:
a. Equifinent;devices and fixtures are installed(or bli nked off)safety.
b. Pane. is complete with breakers and cover,and(lab 4ing require-d at final inspection).
C' ice co action and grounding is complete,
d. e elec le systrm has Wely pawed through electrical check.
e, Meter is ermanently marked with addrvas.
f Tern r a dress numbers displayed(Permanent i i iumbers are required for C/O).
5- 111is fully completed fbrm is to be submitted to the Building Department by hand, mail or fax.
6. Future such Agreements wui not be accepted from those�vho violate any one of the above items.
CONTRACTORX DATE OLLL
PRINT NAME --JtL -
ELECTRICIAN DATE �2_
PRINT NAME
800 Seminole Road,Atlantic Bea�h FL 32233
Phone:(904)247-5826 Fax:(904)247-5845 �. �a�bsq revised 0 130 09