2166 S Fairway Villas ln elec safety 2012 fk CIT OF ATLANTIC BEACH
800 SEMINOLE ROAD
r � ATLANTIC BEACH,FL 32233
-� INSPECTION PHONE LINE 247-5814
12- 0001361
Date 9/18/12
EJ
Application Number 2161 S FAIRWAY VILLAS LN
Property Address . . •
Application type description ELE 'TRIC ONLY
TO E UPDATED
Property Zoning . . • • • • • ; 0
Application valuation . . .
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Application desc
safety inspection
Contractor
Owner
LIMBAUGH ELECTRICAL CONTRA
DODDS BEATRICE M
2166 FAIRWAY VILLAS LN E 42 WEST 8TH STREET 233
FL 322334408 1 ATLANTIC BEACH FL 32
ATLANTIC BEACH i (904) 241-9051
__ _ ------------------------------------
-----Permit .
ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 90 . 00 i
Valuation . . 0
Issue Date • • • ' 11
3/17/13
Expiration Date
2 . 00
Other Fees
ST TE ELEC DCA SURCHARGE
• ST TE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged 1Paid Credited
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y ----Due---
_ ------- --------
----- ----------
- ---- i 90 . 00 . 00 . 00
Permit Fee Total 90 . 00 i 00 00 . 00
Plan Check Total 4 . 00 . 00 . 00
Other Fee Total 4 . 00 00
Grand Total 94 . 00 94 . 00 . 00
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PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY C F ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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ELECTRICAL PERMIT AP LICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247- 6 F (9 4) 5845
JOB ADDRESS:
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS MPS VOLTS PHASE
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VALUE OF WORki$
NEW SERVICE ❑ Overhead ❑ Underground MJ Underground up Pole
[-]Residential(Main) Service
00-100 amps ❑101-150amps ❑151-200amps !'j ❑ amps # of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
C]Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps ❑ CT Servic amps
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NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.);
❑100 amps ❑150amps 11200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSOR 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
'I Swimming Pool ❑ Sign F.1 Smoke Detectors_Qty ❑Transfo�mers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty volts/amps VAL UE OF WORK$
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REPAIRS/MISCELLANEOUS
[-]Replace Burnt/Damaged Meter Can ;kl�afety Inspection DPanel Change DOH to UG
OOther:
Permit becomes void if work does not commence within a six month period or work is sus ended 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 iordinances governing this work will be complied with whether
specified or not. The permit does not vlvP authority to violate the provisions of any other tate or local law regulation construction or the performance of
construction.
Property Owners Name E n-Ni n1"SfYa±1 (Y,KAe Number
Electrical Company �1 mhC �C 4 �Cfltr 1`b f ne ���—�� Fax
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Co. Address: `'�2 1��� h I' ;City �tC Cita € F� Zip 32233
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License Holder (Print): Wil.4 ;State Certification/Rei �t �
JV
Notarized Signat
ow eo Note; Public State _
Barua!a K K@nHell aad su crib ed before this y of 20
c o �C mnrsb
. �OF �O �„rte tary Public �I ti-C