1851 Beach Ave panel box elec 2012 ?1L.1Pl,r
CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12- )0001012 Date 8/03/12
Property Address 185L BEACH AVE
Application type description ELE TRIC ONLY
Property Zoning . . . . . TO E UPDATED
Application valuation . . . . 0
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Application desc
burned out panel boxes
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Owner Contractor
_
________________________
_______________________
HALTER STANLEY FRANK SR LIMBAUGH ELECTRICAL CONTRAC
1851 BEACH AVE 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
____________________________________________________________________________
Permit . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . 90 .00 Plan Check Fee . 00
Issue Date . . Valuation . . . . 0
Expiration Date . . 1/30/13
______________________________________ _____________________________________
Other Fees . . . . . . . . . ST TE ELEC DCA SURCHARGE 2 .00
ST TE 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 APPROVED ONLY IN ACCORDANCE WITH ALL CITY O ATLANTIC BEACH ORDINANCES AND THE nORmA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF AT1,ANT C BEACH
800 Seminole Rd,Atlanti Beach, FL 32233
I� I h(9 7-5826 F (904)247-5845
JOB DRESS: Ch CLe PERMIT#
.IEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OFW RK$ DB. OD
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
Residential(Main)Service
❑0-100 amps E3101-150amps 0151-200amps ❑ amps #of Meters
Commercial(Main)Service —
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size —
Multi-Family(Main)Service
E10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
Temporary Pole ❑ amps
SERV�CE UPGRADE ❑ amps ❑ CT Serfce—amps
NEWpEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETi,,.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service_amps
ADDFfIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSO 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: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
]Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ETrans 7o=ers_KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm C ecklist)
Qty_volts/amps VALUE OF WORKS
REPAiRS/MISCELLANEOUS
dReplace Bumt/Damaged Meter Can El Safety Inspection ❑Panel Change ❑OH to UG
Ll Other.
Permit becomes void if work does not commence within a six month period or work is s isponded or abandoned for six months. lb ereby certify that I have
read this application and know the same to be we and correct All provisions of laws d ordinances governing this work will be complied with whether
specified or not. 7Le permit does not give authority to violme the provisions of any ofia r state or local law regulation construction or the performance of
construction.
Propert Owners Name Phone Number �r3_ Pos
Electrical Company Lim i G+ ice
hone 2_4(-.qOj( Fax
Co.Address: h City A� [ nt -__&arillatc FI Zip�5
License Holder(Print): / State Certification/RegiE tl+300 296
Not r' Signature ofLicense Holder
Sworn and subs ribed e e thi day o
Signature of Notary Public tl,