270 Mayport Rd (unit 18 W 3rd St) 2012 elec repair CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
' = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-010001029 Date 8/08/12
Property Address . . . . . . 270 YPORT RD
Tenant nbr, name . . . . . . 18 W 3RD ST
Application type description ELEC RIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
1 fixture
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Owner Contractor
CHRISTENSON, DALE LIMBAUGH ELECTRICAL CONTRAC
112 OLEANDER ST 42 WEST 8TH STREET
NEPTUNE BEACH FL 32266 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit ELECTRICAL PER IT
Additional desc .
Permit Fee . . . . 55 . 60 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/04/13
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STAVE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged P id Credited Due
----------------- ---------- ---- ----- ---------- ----------
Permit Fee Total 55 . 60 , 55 . 60 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 59 . 60 59 . 60 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF Al LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT PPLICATION D D�
CITY OF ATLANTI BEACH 1'
800 Seminole Rd, Atlantic each, FL 32233
P (904) 247-5826 Fax(' 04) 247-5845
JOB ADDRESS: C,�eS+ � G�
��� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WOR $
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
[IResidential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
00-100 amps 1110 1-1 50amps ❑151-200amps ❑ amps #of Unit Meters
I ITemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Servi amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.
O 100 amps ❑150amps 0200amps ❑ amps I OCT Service amps .
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORV 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 ❑Transfo' ers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Che' klist)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
[.]Replace Burnt/Damaged Meter Can Panel Change OOH to UG
C]Other:
Permit becomes void if work does not commence within a six month period or work is sus nded 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 rdinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other Ate or local law regulation construction or the performance of
construction. Q�
Property Owners Name ( l L� ICl�� F jC' C_.
I PlNumber
Electrical Company LI nn 1 C Ca 1fic fio-Ine —
�1 2_ r1
'o Address: � `
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itY IG a ti Zip�vz�3
License Holder (Print): tate Certification/RegiskQj002296
Votarized S a e o
r� Sitprs K Kennally
v�Gommlf�10"DD 61n a sub ri d bef, e is
' r day 420
i5i�4Y 4 r:i�Ql�
gn ture of Notary Public l�