1340 Violet St 2012 elec TEMP POLE I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANT E BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS:
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 6 AMPS 9Q10 VOLTS --4/--PHASE
VALUE OF Wo RK$
NEW SERVICE 0 Overhead El Underground Underground up Pole
DResidential (Main) Service
E 0-100 amps 0 10 1-I 50amps 0 151-200amps amps of Meters
OCommercial(Main) Service
110-100 amps El 10 1-I 50amps El 151-200amps --amps EICT Service_amps
Conductor Type Size
F]Multi-Family(Main)Service
DO-100 amps 11 101-150amps E 151-200am s
1-1 Temporary Pole []—amps P —amps of Unit Meters
SERVICE UPGRADE 0--________,amps 0 CT Ser-v ice_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E100amps t'--1150amps 11200amps D_amps 0CT Service amps ,
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: —0-30amps -3 1-10 Oamps —101-200amps
Appliances: —0-30amps 31-100amps 101-200amps
A/C Circuits: —0-60amps —61-100amps
Heat Circuits: # circuits @_kw
Number of Lighting—0utlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[-JSwimming Pool E Sign IlSmoke Detectors_Qty E]Transf)rmers—KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
QtY—volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
1]Replace Burnt/Damaged Meter Can [I Safety Inspection OPanel Change 0 OH 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
read this application and know the same to be true and correct. All provisions of laws anc 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 nt Phone Number 01 -7
ce Phon 0
01�-
Electrical Company L cr,�oaI1 1, 11!l I I 2L
Lt�—Cc �;T( e 41-- Q 'S( Fax
Co. Address: YA 2Z re-e City ILEOZQ�tateE_LZip —32 2
License Holder(Print): State Certificatiorv*yj�
Notarized Signat
00 pt%" �",iu�a v Public taleo Out-,
U,;aruara K�"N'md su ri
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1�6C
ary Public PA u CLA r
C111 Y OF ATLANTIC BEACW,
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000906 Date 7/18/12
Property Address . . . . . . 1340 VIOLET ST
Tenant nbr, name . . . . . . TP01
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
temp pole
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Owner Contractor
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BEACHES HABITAT FOR HUMANITY LIMBAUGH ELECTRICAL CONTRAC
1671 FRANCIS AVE. 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-1222 (904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/14/13
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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 Piid 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.