Permit Elec 270 Mayport 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
±� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001751 Date 11/29/12
Property Address . . . . . . 270 MAYPORT RD
Tenant nbr, name . . . . . . 20 W 3RD STREET
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
CHANGE OUT BURNT METER CAN
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Owner Contractor
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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 PERMIT
Additional desc . . CHANGE OUT BURNT OUT METER CAN
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 5/28/13
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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.
2012-11-29 08:07 Building Dept. 247 5845 >> 904 2490703 P 1/1
ELECTRICAL PERMIT APPLICATION
ITY OF ATLANTIC BEACH
pe— 00 Seminole Rd,Atlantic Beach,FL 32233
/ V�J Ph 904 247-5826 Fax 904)247-5845 1-,'Os' )
n r t( a PERMIT#
JOIE ADDRESS: �_.� � � S'� � (��
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS , _ VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑l Underground up role
❑Residential(Main)Service
0 0.100 amps 0101-150amps [.7151-200amps ] amps 9ofMeters
❑Commercial(Main) Service
❑0-100 amps 0101-150amps ❑151-200amps f_l amps CICT Service amps
Conductor Type Size
FIMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑151.200amps ❑ amps #of Unit Meters
JTemporary Pole 07 amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switcltes: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Hcat Circuits: # circuits @_ _ .._.._kw
Number of Lighting Outlets, Including Fixtures:
OTHER E,LECTRXCAL PROJECTS
OSwimming Pool G Sign LSmoke Detectors_Qty uTransformers KVA OMotors hp
FIRE, ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE-9F WORKS � d c
e�
RE,P /MISCELLANEOUS
Iveplace Burnt/Damaged Meter Can ID Safety Inspection 0Panel Change ❑OM to UG
rl0thcr:
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 noL I lie permit d of give aulbority it�late the rovisions of any other atc or,local law regulations ccoon�structi�a performance of
construction. _ u (�
Property Owners Na — — ne Number�� �
iCr..l-�rcc��� � c�Ix 7�-E� O,O�
Electrical Company one Z
Co.Address: 2- t ���t City IGnf iG
License Holder(Print): State Certification/Registaeo 1
Notarized Signature of License Folder
201 Z
r ru Pu ta'e 0;Florid
N
Comrmssion DD888781
Expiries 0311112013