355 Plaza 2013 rewire service 200 amp CITY OF ATLANTIC BEA
800 SEMINOLE RO D
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
J13 �?
Application Number . . . . . 13-00003832 Date 12/12/13
Property Address . . . . . . 355 PLAZA
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
--------------------------------------------------------------
Application desc
rewire 200 amp service
--------------------------------------------------------------
Owner Contractor
-
------------------------
-----------------------
BLEDSOE JAMES A JR LIMBAUGH ELECTRICAL CONTRAC
4653 EMPIRE AVE 42 WEST 8TH STREET
JACKSONVILLE FL 322072192 ATLANTIC BEACH FL 32233
(904) 241-9051
------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc .
Permit Fee 125 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 6/10/14
-------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
-------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------
Permit Fee Total 125 . 00 125 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 129 . 00 129 . 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
h(904) 247-5826 Fax (904) 247-5845
S � PERMIT#
JOB ADDRESS:
AMPS VOLTS PHASE
JEA INFORMATION REQUIRED ON ALL PERMITS
VALUE OF WORK
E] Underground ❑1 Underground up Pole
NEW SERVICE Overhead
❑Residential(Main) Service # of Meters
00-100 amps 0101-150amps 0151-200amps ❑__amps
❑Commercial(Main) Serviceamps OCT Service amps
❑0-100 amps 0101-150amps Size ❑151-200amps ❑
Conductor Type
❑Multi-Family(Main) Service 0151-200amps ❑ amps # of Unit Meters
00-100 amps 0141-150amps
❑Temporary Pole ❑—*amps
0 CT Service amps
SERVICE UPGRADE
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) OCT Service amps
❑100 amps ❑150amps ❑200amps ❑ amps
ADDITIONS,REMODF�, PAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. s
Outlets/Switches: �f' 0-30amps 31-100atnps 101-200a101-200amps
�0-30amps _.--.---31-100atnps __—__--
Appliances: — .0-60amps 100amps
A/C Circuits: @w
Heat Circuits: # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS KVA ❑Motors hp
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty LTransformers
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK
Qty volts/amps
REP AIRSIMISCELLANEOUS
❑Safety Inspection ❑Panel Change OOH to U
❑Replace Burnt/Damaged Meter Can
❑Other: a
provisions of laws and ordinances governing this work will be complied heied of
Permit becomes void if work does not commence within a six month periodorwork is suspended or abandoned for six work
will. I hereby certify thwhether
at I have
read this application and know the same to be true and correct. All provisions
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or performance
construction. F4�3z
Phone Number0.�`J
Property Owners Name u e l— C(Crj( Fax
Electrical Contpanynm)
-�-�� city
Co. Address: _ _ a kp�
State Certification/R tot
License Holder (Print)-
state of Florid
]Notarized Signature of TvJIIF'�r ar t 0
do mission EE 884631
7this
Signature of Notary Public