Permit Elec 20 W 3rd St 2012 CITY OF ATLANTIC BEACH
is1
800 SEMINOLE ROAD
j 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
00 Seminole Rd,Atlantic Beach, FL 32233
PIS(904) 247-5882.16 Fax(904)247-5845 2
JOB ADDRESS: �rcA St PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
OResidential(Main)Service
0 0.100 amps 0 101-150amps [.1151-200amps I amps 9 o Meters
❑Commercial(Main)Service
0 0-100 amps 0101-150amps ❑151-200amps 0 amps nCT Service amps
Conductor Type Size
7Multi-lramily(Main)Service
0 0-100 amps ❑101-150amps ❑151.200amps ❑ amps #of Unit Meters
IITemporary Pole C amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW]FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0I50amps f1200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outicts/Switchcs: 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:
OT14ER ELECTRICAL PROJECTS
OSwimming Pool G Sign 0Smoke Detectors_Qty UTransformcrs KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) c
Qty volts/amps VALUE'_VF WORK$ J�•
REP /IVIISCELLANEOUS
eplace Burnt/Damaged Meter Can 0Safety Inspection 1 0Panel Change ❑OM to UG
ClOther:
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. Ilia permit dD=ot give au orr to violate the rovisions of any other atc or local law regulation construction or the performance of
construction. _ -�'Iu�` 4.=—A
Property Owners Na ne Number
�i&°'eL l 04 E lectrical Comp an y 21one
t Co. Address: City
iG
License Holder(Print): State Certification/Registg, ) 1ffN0 Z%
Notarized Signature of License Ifolder
( Z
A�.0 N Public a 11C load r
. My LamFssion DD889781
'fOf M1 E.zpirae 03!11/2013