Permit Elec 1862 Hickory Ln 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00001991 Date 1/14/13
Property Address . . . . . . 1862 HICKORY LN
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2000
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Application desc
17 switches/outlets
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Owner Contractor
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SHELTON, DAVID A. LIMBAUGH ELECTRICAL CONTRAC
1862 HICKORY LANE 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . 17 SWITCHES & OUTLETS
Permit Fee . . . . 60 .40 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/13/13
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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 60 .40 60 .40 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 64 .40 64 .40 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH 1
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904) 247-5845 14ql
JOB ADDRESS: H i cKb ir Lct-ne_ PERMIT#
JEA INFORMATION REQUIERED ON ALL PERMITS 9tV AMPS W VOLTS PHASE
VALUE OF WORK$ 8000 ,,00
NEW SERVICE F-1 Overhead F-1 Underground D Underground up Pole
OResidential(Main) Service
0 0-100 amps 0 101-1 50amps 0 151-200amps O_amps of Meters
OCommercial(Main) Service
00-100 amps D101-150amps 0 151-200amps amps OCT Service_amps
Conductor Type Size
[.]Multi-Family(Main)Service
0 0-100 amps 0 10 1-I 50amps 0 151-200amps O_amps # of Unit Meters
[-]Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.)
E1100amps 0150amps 0200amps 0 amps OCT Service amps ,
ADDITIONS,REMODEL51 REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: circuits @
i
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
E Swimming Pool 1] Sign 0 Smoke Detectors Qty OTransformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty_volts/amps UE OF WORK$
REPAIRS/MISCELLANEOUS
FJReplace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change DOH to UG
00ther:
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
icad 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 NameaV I Cl nCLL.A forl Phone Number3Lt_A3k_
Electrical CompanyU mbcxLt& Eltr_AntM&i%�ffice Phone.2-4t- Ci'05 t Fax
Co. Address: 4-2 C )L�:6(,kte p t . Zjp,&2�3S
ity AA16 C�i r. f2
License Holder (Print) 1kL
i State Certitication/Re
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Notarized Signature C"ITeFikko '. - - I
My COMMISS1 Uumsuml If
OF F Expire 03/11/20113 0 2
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Signature of Notary Public