905 Plaza 2013 elec S f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j � ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r A
Application Number . . . . . 13-00002250 Date 3/01/13
Property Address . . . . . . 905 PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
meter can replacement
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Owner Contractor
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LUNDGREN, MAGALI C. LIMBAUGH ELECTRICAL CONTRAC
905 PLAZA 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit ELECTRICAL PERMIT
Additional desc . .
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/28/13
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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
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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
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,l~L 32233
Ph 904)247-5826 Fax(904)247-5845
Jas ADDRESS:SS•. #—PERMIT�d
JEA INFORMATION REQUIRED ON ALL PERMITS 4'P 0 AMPS 2-10 VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead XUnderground QI Underground up Pole
❑Residential(Main)Service
00.100 amps 0101.150amps x.1151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
DO-]00 amps 010I-150amps ❑151-200amps 0—amps DCT Service amps
Conductor Type Size
FlMulti-Family(Main)Service
00-100 amps ❑101-150amps ❑151.200amps ❑ amps #of Unit Meters
LITemporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps _61-100amps
Heat Circuits: _ # circuits @_ _ __.._ ._kw
Number of Lighting Outlets, Including Fixtures:
OT14ER ELECTRICAL PROJECTS
OSwimming Pool G Sign 1J Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
TIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VA.LUI.OF WORKS
RE,P /MISCELLANEOUS
Replace Burnt/Damaged Meter Can 6l 7_Safety Inspection ❑Panel Change ❑OH to UG
00thcr; ((//
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 whcthcr
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.. LPhone Number ��-
Electrical Company O Lc""h r G-� ><ce Phone ( Fax
-� GC' eu^ rt zi z3
Co. Address: 2— City P
-1 l{/u ( ' State Certification/Registration#
i
License Holder(Print): C 13002296
Notarized Signature of License Holder
Before me this It d --�
Signature of Notary Public CtC