610 Orchid St 2012 temp pole CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
r) ATLANTIC BEACH, FL 32233
J
INSPECTION PHONE LINE 247-5814
C
Application Number . . . . . 12-00001617 Date 11/01/12
Property Address . . . . . . 610 ORCHID ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation . . . . 0
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Application desc
TP01
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Owner Contractor
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BEACHES HABITAT LIMBAUGH ELECTRICAL CONTRAC
PO BOX 50939 42 WEST 8TH STREET
JACKSONVILLE BEACH ATLANTIC BEACH FL 32233
JAX BEACH FL 32240 (904) 241-9051
(904) 241-1222
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/30/13
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Other Fees . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE 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 APPROVED 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 Fax (904) 24 -5 45
JOB ADDRESS: Orel L IPERMIT#
1 C
SEA INFORMATION REQUIRED ON ALL PERMITS (�AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps 0-amps # of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
[I Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps # of Unit Meters
emporary Pole d Q amps
f 7-
SER ICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY 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
jSwimming Pool Ci Sign F-1 Smoke Detectors_Qty ❑Transformers KVA El Motors
hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
Permit becomes void if work does not commence within a six month period or work is suspended 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 ,I Phone Number Z� 1 L'.ZZ
Electrical Company uCV*
�1r1 rt /� L L .,��
Co. Address:
Z h CityAt IGip� Z�
License Holder (P State Certification/Registrat13002296
Owl Notary P ct to of A
Notarized Sign i atatasa
c CoQ My Commission D0868761
OF fid' Expires 03/11SqAbrn and s scribe be re is day of 20_
Signature of Notary Public