153 Pine St elec 2012 CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001675 Date 11/09/12
Property Address . . . . . . 153 PINE ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
change out panel
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Owner Contractor
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HERNDON MICHAEL H & HELEN M LIMBAUGH ELECTRICAL CONTRAC
153 PINE ST 42 WEST 8TH STREET
ATLANTIC BEACH FL 322334011 ATLANTIC BEACH FL 32233
(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 . . 5/08/13
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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) 247-5845
PERMIT# 1,2
JOB ADDRESS:
JEA INFORMATION REQUIRED ON ALL PERMITS — AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
nMulti-Family(Main) Service
❑0-100 amps 0101-150amps ❑151-200amps ❑ amps # of Unit Meters
[]Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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
[Swimming Pool U Sign [-]Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps JAL UE OF WORK$
REPAIRSIMISCELLANEOUS
e Burnt/Dama ed Meter Can ❑Safety Inspection anel Change OOH to UG
[-]Replace g
[]'Other:
�h(tAl
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
�Y�1 � � PhoneNumber3��"
• tACCXr%cfat �frGC ice Phone Z��- C51 Fax
Electrical Company nn 3ZZ?�3
Co. Address: Z fih �A "Ott City A 4! �C �� to Zip
State Certification/Rel
License Hold 1
=o,"'"r"P* No[ary Public 9t t o F
Notarizedr4 o,�tt�' e" °i��
Y ommission DD868781 C�`� aay of
'SOF P. Exai�es 03/11/2013 Sworn d subs ibe before his
Sianature of Notary Public