60 W. 10TH ST TP01 TEMP POLE CITY OF ATLANTIC BEAQ, .
s j 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00003604 Date 10/31/13
Property Address . . . . . . 60 W 10TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . 0
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Application desc
60AMPS 240VOLTS 1PHASE TPO1 TEMPORARY POLE
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Owner Contractor
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BEACHES HABITAT FOR HUMANITY LIMBAUGH ELECTRICAL CONTRAC
1671 FRANCIS AVE. 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC(90FL 32233
) 241-9051
(904) 241-1222
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date . . 4/29/14
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------------------------------------------- -------
00
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 •
STATE ELEC DBPR SURCHARGE 2 . 00
Fee summary Charged Paid Credited Due
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Permit Fee Total 90 . 00 90 . 00
Plan Check Total . 00 . 00 . 00 . 00
4 . 00 4 . 00 . 00 . 00
Other Fee Total
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247- 26 Fax (904) 247-� l.J
JOB ADDRESS: �l l L� 1h PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS
PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service # of Meters
00-100 amps 0101-150amps 0151-200amps ❑ amps
CCommercial(Main) Service ams OCT Service amps
❑0-100 amps ❑101-150amps ❑151-200amps ❑ p
Conductor Type Size
❑Multi-Family(Main) Service
-100 amps 0 01-150amps ❑151-200amps ❑ amps # of Unit Meters
Temporary Pole ❑amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
p
0-30am s 31-100amps 101-200amps
Appliances:
A1C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS KVA []Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty El Transformers
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
❑Other:
within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
Permit becomes void if work does not com7ne7ce
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. 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 acly; HFax
a�i I Ct t Phone Number
Electrical Company (�fl �( C r i C
CCC + one Ct��
�,}C'S i h ly Cityrlt tCrnj iC. Crto 1�� Zip�ZZ
Co. Address: L
License Holder(Print): t-� State Certification/Registration#E 13C>D �(
Notarized.sig l / 2
My Cp Mjacan
C ExpiMr o3N712Btfor 1 is a
Signature of Notary Public
�.