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490 Levy Rd Unit ! safety inspection 2012 f CI Y OF ATLANTIC BEACH s) 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 12- )000093 ate 7/23/12 Property Address . . . . . . 490 LEVY D UNIT 1 Application type description ELE TRIC Property Zoning . . . . . . . TO E UPDAT Application valuation . . . . 0 --------------------------------------- ------------------------------------ Application desc SAFETY --------------------------------------- ------------------------------------ Owner Contractor ------------------------ ------------------------ RUSSELL, MERVYN LIMBAUGH ELECTRICAL CONTRAC 1308 7TH ST. 42 WEST 8TH STREET JAX BEACH FL 32250 ATLANTIC BEACH FL 32233 (904) 246-8540 (904) 241-9051 --------------------------------------- ------------------------------------ Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 1/19/13 --------------------------------------- ------------------------------------ Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STA E ELEC DBPR SURCHARGE 2 . 00 --------------------------------------- ------------------------------------ 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 APPROIVED 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 F (904) 247-5845 JOB ADDRESS: ' l vl — PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS _-q v VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole ❑Residential(Main) Service ❑0-100 amps 1110 1-1 50amps ❑151-200amps ❑ amps # of Meters ❑Commercial(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps 11 CT Service amps Conductor Type Size ❑Multi-Family(Main)Service 1]0-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters []Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Se ice amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps [_1200amps ❑ amps ❑CT Service amps , ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSC RY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-l 00amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS CSwimming Pool Ci Sign ❑Smoke Detectors_Qty []Transformers KVA 11 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire AlarmChecklist) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS []Replace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change IJ OH to UG ❑Other: 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 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 jDrnc.no nCa Phone Number Electrical Company L, h E.►eCt r i CGL Ccrl+YGct1 Tfffice Phone-:.'41—`'!0 Fax Co. Address: 4Z -� h StYL`et City AAJG.ntic—&-G-C)\-State F Zip S?253 License Holder(Print):. C"'— �N State Certificationmtom( # Notarized Signat ec nQ =o `�� sao a Y u ,,o to ` aaruaia K Kennelly f 4 My 1jn,m 6w@P*A11d su c ibe before this3 day of t_J l '�uraQ 2012 tary Public bCLkC, D