30 Ardella Rd TP01 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001707 Date 11/16/12
Property Address . . . . . . 30 ARDELLA RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
TP01
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BEACHES HABITAT LIMBAUGH ELECTRICAL CONTRAC
30 ARDELLA RD 42 WEST 8TH STREET
ATLANTIC BEACH FL 322334306 ATLANTIC BEACH FL 32233
(904) 24 1-9051
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . TEMP POLE
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/15/13
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE 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 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
JOB ADDRESS: fG�0�1 (�_PERMIT# I
JEA INFORMATION REQUIRED ON ALL PERMITS lid AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE F-1 Overhead Underground Underground up Pole
OResidential(Main) Service
0 0-100 amps 0 101-1 50amps 0 151-200amps O_amps of Meters
0 Commercial(Main) Service
0 0-100 amps 0 10 1-I 50amps 0 151-200amps O_amps OCT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
9P-100 amps 0 10 1-I 50amps 0 151-200amps amps # of Unit Meters
Fremporary Pole 0 amps
SERVICE UPGRADE 0— amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps O—amps OCT Service amps ,
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Sw itches: 0-30amps 31-100amps . 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
DSwimming Pool I-] Sign 0 Smoke Detectors_Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm ChecIdist)
Qty volts/amps UE OF WORK$
REPAIRS/MISCELLANEOUS
[-]Replace Burnt/Damaged Meter Can 0 Satety Inspection OPanel Change OOH to UG
F30ther:
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 h
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 Phone Number2�4 I-
Electrical Companykrn br, I (!D*Xf1t1 ice Phone N I— Ci 05 1 Fax
Co. Address: L+2 city A+Ictftf ic &C,63tate Ek zip �SZZ33
State Certification/RWrf"@.
License Holder (Print):
Notarize Signature oflibitimm,
�9L898(1G'u01SS.1UWjW03 4vy
Aij@UU9)N4)N4 Pje'�Pejq
8PPOLA P WIS Vqnj ARION d subs ribed efore me this JS�leay Of 4(Xj,��O� 11
i2nature of Notary Public