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
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Application desc
SAFETY
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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
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Permit . . . . . . ELECTRICAL PERMIT
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
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 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