650 Orchid St elec new service 2012-11-29 08:07 BuiLding Dept. 247 5845 >> 904 2490703 P 1/1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 PEW*UT#
JOB ADDRESS-.— (-,Jsn C�chhlti
PHASE
TS AMPS EWVOLTS
JEA INFORMATION REQUIRED ON ALL PERMI
VALUE OF WORK S_J��20�0)L
NEW�SfRVICE El Overhead nderground Underground up Pole
Residential(Main)bnlce
00-100 amps 1n "I 50amps (r U,3 1-200amps C amps 9 of Meters
0 Commercial(Main4ervice nCT Service amps
FIO-100 amps 0101-150amps 0 151-200amps
Conductor Type Size
Fimulti-Family(Main)Service
. 00-100 amps [1101-150amps 0 151.200w-nps 0 amps h!of Unit Meters
LITemporary Pole 0_______ampS
SERVICE UPGRADE D amps 0 CT Service—amps
Nr�W FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps o_amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
outicts/Switclics; ________P-30amPs 31-100amps —101-200amps
Appliances- 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: fi circuits @ kw
Number of Lighting Outlets, Including Fixtures.,
OTHER ELECTRICAL FROJE CTS rs_Qty CiTransformers I_KVA OMotors_llp
oSwimmingPool GSign USmokeDetecto
F IRE, ALARM SYSTEM (Requires 3 sets of plans) VALUOOF WORK$
Qty_volts/amps
RE PAIRS/MISCELLANE,OUS
0 Replace Burnt/Damaged Meter Can IlSafetyinspeotion . DPanel Change DOM to UG
F]Othcr:
thin a six month Period or work is suspended or abandon�TdT�r six months. I hereby certify that I hayc
Permit becomes void if work does not commence wi
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. Ilic permit does not give authority to violate the provisions of any other state or local law regulation construction or the perrormance of
construction.
Ph N mber
a e Nu
Property Owners Name iP)Crt C nv);k't �C
..Te' -2(4 Ci C61FaX
co, ione
Electrical Company I A ecibn� L �_M
��4tate zip
cityAlIc _10�L
Co. Address:
License Holder(Print): k In State CcrtificationtWj3t@MLQ6_
Notarized Signature of License Wolder X-_
—Tr C'L�� I:&
Before me this y rQ
.,
Signature of Notary Public:itt
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001753 Date 1/03/13
650 ORCHID ST
Property Address . . . . . . ILY RESIDENCE
Application type description SINGLE FAM
Property Zoning . . . . . . . RES GEN 2F DISTRICT
Application valuation 7SO00 -----------------------
------------------------------------ ----------------
Application desc
NEW SFR DETACHED 4 BEDROOM --------------- -------- --------------
-- ---------------------------------
Contractor
Owner ------------------------
-------------- --------- BEACHES HABITAT
BEACHES HABITAT 1671 FRANCIS AVENUE
po BOX 50939 ATLANTIC BEACH FL 32233
JACKSONVILLE BEACH (904) 241-1222
JACKSONVILLE BEACH FL 32240
(904) 241-1222 00 0oo NEW HOME
--- Structure Information 0 -B
Construction Type . . . . . TYPE 5
RESIDENTIAL
occupancy Type . . . . . . ZONE X ---------
Flood Zone . . . . . . . . --------------
---------- -----------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc 150 AMP UNDERGROUND
LIMBAUGH ELECTRICAL CONTRAC . 00
Sub Contractor 115 . 00 Plan Check Fee 0
Permit Fee Valuation
Issue Date 7/02/13 -------
Expiration Date ------- ---------------- --------
- ---------------------------------
Special Notes and Comments
Full right-of-way restoration, including sod, is required.
Roll Off container company must be on City approved list
and container cannot be placed on City Right-of-Way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management . ) control measures must be installed and
Full erosion
approved prior to beginning any earth disturbing
Public Works (247-5834) for Erosion
activities . Contact to start of
and Sediment Control Inspection prior
construction. CODE, 2o08 NATIONA1 ELECTRIC CODE
2olo FLORIDA BUILDING MECHANICAL A/C INSPECTION, A STICKER
FOR AN APPROVED FINAL RIFY THAT DUCTS HAVE
SHALL BE INSTALLED ON THE AHU TO VE
BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST
INSPECTION" FROM AND INDEPENDENT TESTING AGENCY.
*SUBMIT "CERTIFICATE OF COMPLIANCE" By A LICENSED PEST
PERMIT ISCONWMIL O&VMfG1'yOF6k&0R MTt% f.UQ:74TY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12-00001753 Date 1/03/13
----------------------------------------------------------------------------
Special Notes and Comments
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS -----
-----------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due---
----------------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
08/27/2013 16:05 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC 13EACH
Electric power is requested now under the conditions and terms of this fully executed Agmemetit&Release
Job Address. CL
Permit No. 1 --3-2-10-2 Service Type (Circle One): Overhead UJ�adergrou d
We,the undersigned General Contractor and Electrician,understand and agree:
1. "Early Power" is Vu ely for our construction convenience, it is not required �y Codes and does not
substitute for Final spectionsi or the C/O(Certificate of OccupancyTffiat must be issued betorc occupancy,
and as such is at the discretion of the Buildmg Official.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing, All rough
inspections must have prior Approval, including meter base connections.
3. Occupancy or use of the new construction before a formal C/O constitutes fraudulent use of the early
electfic service. Such action is expressly prohibited and penalized by The City of Atlantic Beach
Ordinances. A violation of this Agreement shall result in a request for promptremoval of electric service
after a twenty-four hour notice.
4, "Early Power"release authority is the Electrician and/or the Contractor and must not occur befbre:
a. E i ment,devices and fixtures are installed(or blanked oft)safely.
b. Pqulf is complete with breakers and cover,and(labeling required fit final inspection).
c. Service connection and grounding is complete.
d. 'Ibe electric system has§afely passed through electrical cbeck.
e, Meter can is permanently mikked with addfess.
f Temporary address numbers displayed(Permanent numbers are required fbr C/O).
5, This fully completed form is to be submitted to the Building Department by hand,mail or fax.
6. Future surb Agreements will not be accepted from those who violate any out of the above items.
CONTRACTOR 'DATE 5k7l lr:S
PRINTNAUE
2311
ELECTRICIAN X)ATE
PRINT NAAE rh
800 Seminole Road,Atlantic Beach FL 32233
bl,tp://www.coab.Li$ revised 0130 09
Phone:(904)247-5826 Fax:(904)247-5845