355 Plaza 2013 temp pole CITY OF ATLANTIC of ROAD
s 800 SEMIN
s ATLANTIC BEACH,FL 32233
J INSPECTION PHONE LINE 247-5814
13-00003627 Date 11/06/13
Application Number - _ 355 PLAZA
Property Address
Application type description ELECTRIC ONLY
RES SF DISTRICT
Property Zoning 0
Application valuation . -------
------------------------------------
Application desc
temp pole --------------------
Contractor
Owner ------------------------
------------------------ LIMBAUGH ELECTRICAL CONTRAC
BLEDSOE JAMES A JR 42 WEST 8TH STREET FL 32233
4653 EMPIRE AVE FL 322072192 ATLANTIC BEACH
JACKSONVILLE (904) 241-9051 --------
-----Permit . --ELECTRICAL PERMIT
60 AMP TEMP POLE . 00
Additional desc 90 . 00 Plan Check Fee 0
Permit Fee Valuation
Issue Date 5/05/14 -------------------
Expiration Date -------------------------------- 2 . 00
---
---------------------------
---- --------- STATE ELEC DCA SURCHARGE 2 , 00
Other Fees STATE ELEC DBPR SURCHARGE---------------
---- ------------- ---------Credited Due
-------------------- Paid
Fee summary Charged - . 00 . 00. 00 . 00
---------- -_-_--_-_- ----------
----------------- 80 . 00 90 . 00
Permit Fee Total 00 . 00 . 00
4 . 00
Plan Check Total 4 . 00 . 00
Other Fee Total 94 . 00 94 . 00 00 . 00
Grand Total
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
h(904) 24 26 Fax (904) 247-5845
�-r PERMIT#
JOB ADDRESS:
JEA INFORMATION REQUIRED ON
WO AMPS lc(Cl VOLTS PHASE
ALL PERMITS
VALUE OF WORK
NEW SERVICEOverhead
Underground D Underground up Pole
❑Residentia ain) Service 0151-200amps ❑_______amps
# of Meters
00-100 amps ❑101-150amps ❑CT Service amps
p_Commercial(Main)❑S Service
mps ❑151-200amps 0amps
00-100 amps Size
Conductor Type
#of Unit Meters
❑Multi-Family(Main) S0ervice ps ❑151-200amps ❑_amps
100 amps
(4emporary Pole`,A�atnPs
� amps 0 CT Service amps
SERVICE UPGRADE ----
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) OCT Service amps
❑100 amps ❑1 SOamps
0200amps ❑__amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUT ETC-
31-
ETTC3�A 00amps 10 STRUCTURES, .0-3 0 arnps 0am s
outlets/Switches:
0-30amps 31-100amps __101-2 P
Appliances: 61-100amps
��'
A/C Circuits: 0-60amps
Heat Circuits: __ # circuits @_k
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hp
❑Swimming Pool ❑ Sign 0 Smoke Detectors__.Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty volts/amps
REPAIRS[MIS Burnt/DamagedANOeSMeter Can E]Safety Inspection ❑Panel Change [30H to UG
CReplace
❑Other: that I have
flaws and ordinances governing this work will beri complied with er
Permit becomes void if
work does not commence within a six month period os of
is suspended or abandoned for six work
will be
ed
read this application and know the same to be true and correct. All provision
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction
P
construction' �p Phone Number
Owners Name►�-- Zt��-CjCSI Fax
Property _ eC.�ICG - -}fGCk� ce Phone
Electrical Company Cityvn__'HG tate R_ziP��3
Co. Address: Z- { State Certification/Regis tj.�r�
i
License Holder Print):
y� Q/londa
Notarized Sig Barbara Kaye Kennelly ay to
0
+� p� My Commission epg me his
'➢i �tl' Expires D31171204'1`'1
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ignature of Notary Public