Permit Elec Safety 490 Levy Rd Unit 2 2012 I I t S %/,,
C,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000877 Date 7/13/12
Property Address . . . . . . 490 LEVY RD UNIT 2
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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RUSSELL MERVYN LIMBAUGH ELECTRICAL CONTRAC
490-2 LEVY ROAD 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
Permit . . . . . . ELECTRICAL PERMIT---------------------------------
Additional desc . . SAFETY INSPECTION
Permit Fee . . . . 90 . 00 Plan Check Fee
Issue Date . 00
. . . . 7/11/12 Valuation . . . . 0
Expiration Date . . 1/07/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE 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 ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph�904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: "Rc) (--)- t re), 4 k' o PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS2�,� AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE 0 Overhead E:1 Underground Underground up Pole
Residential (Main) Service
10-100 amps 11101-1 50amps 151-200amps I i—amps of Meters
i Commercial(Main) Service
1 10-100 amps I �101-150amps 151-200amps amps CT Service amps
Conductor Type Size
I Multi-Family(Main) Service
j 0-100 amps 1101-150amps 1A 151-200amps amps of Unit Meters
I Temporary Pole I amps
SERVICE UPGRADE 1-1 amps I � CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[ 100amps �__150amps _1200amps F_amps I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-I 00amps 101-200amps
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:
OTHER ELECTRICAL PROJECTS
!-I Swimming Pool [-1 Sign P Smoke Detectors_Qty I i Transformers KVA I]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
I lReplace Burnt/Damaged Meter Can Xafety Inspection t' �Panel Change I]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[ -tina/ —PhoneNumber 610 — ow�)
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Electrical Companyumv-p', 106c.411ticra ContrcdAt*4�cNhone Z-1 Fax
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Co. Address: -city F_Y&�
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License Holder(Print):
A A State Certification/Regif&SO&IN-6—
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Notarized ignat
N Notary PtiOlicAtate of Florid
VC, Barbara K K9-hWQm ann s cr ed e this I Pkay of 20 12
My Commission DDS88781
Expires 0311 hature of tary Publi