safety elec inspection 2012 CI1Y OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 12-00000929 Date 7/23/12
Property Address . . . . . . 60 17 1
Tenant nbr, name . . . . . . <' READS 66 ON METER CAN
Application type description ELETTRIC—ON-L�---
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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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 PEINIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/19/13
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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.kPPLICATION
CITY OF ATLANTI c BEACH
800 Seminole Rd, Atlanti( Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845
JoBADDRESS: C-Or,+ �C)th St , PERMIT#
YEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead F-1 Underground Underground up Pole
L��Residential(Main) Service
110-100 amps 11 101-150amps 11 151-200amps El amps of Meters
F Commercial (Main) Service
1�0-100 amps D 101-I 50amps [I 151-200amps amps IICT Service amps
Conductor Type Size
!Multi-Family(Main)Service
Ll 0-100 amps 11101-I 50amps 11 151-200amps amps of Unit Meters
�]Temporary Pole Ll amps
SERVICE UPGRADE El_amps 11 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ET C.)
1--1100amps "-1150amps F1200amps [I amps E CT Service amps ,
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESS(RY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: 4 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
1�Swimming Pool Ll Sign F1 Smoke Detectors_Qty [I Tran formers KVA 11 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm (hecklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[_I Replace Burnt/Damaged Meter Can Y�afety Inspection L]Panel Change FJOH to UG
[-]Other: e �fi-/(// 2 S 6 6 - 7
M� 7- e -
Permit becomes void if work does not commence within a six month period or work is ;uspended 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,,nd ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any otf er state or local law regulation construction or the performance of
construction.
Property Owners Name7F?ff,C�VS� �jCjbj�CA:j PhoneNumber
Electrical Company LirnbCwAn Re __ jC(II on a-�r,n d 1-.A&-A I k Phone 2-4119051 Fax
Co. Address: 42— Ux)e94 S+reet- City Attnali��Crch StateR. Zil)5?_�_
License Holder(Print): &L State Certification/Registntm
Notarized Signature ofLi VAC I Z%_.,It_1 OV V0 L2 296
Battma K Kennelly n '�i;r ct
SnPjpX0rV'qnf
JMPO fore:iie thisc;;�,_/ day of 20 1-1�1
OF
tary u lic I�CA_CD. . 16_r,�