152 3rd st 2014 safety elec �} CITY OF ATLANTIC BEACH
iJ 800 SEMINOLE ROAD
N� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
14-00000789 Date 5/13/14
Application Number . 152 3RD ST
Property Address . . . . . .
Tenant nbr, name . . . . . . FOR 273 OCEAN AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . 0
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Application desc
safety inspection
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Contractor
Owner
------------
-------------------
ANDO, STEPHANIE ELIZABETH LIMBAUGH ELECTRICAL CONTRAC
42 WEST 8TH STREET
152 3RD ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit
• ELECTRICAL PERMIT
Additional desc • Plan Check Fee . 00
Permit Fee . . . . 90 . 00 0
Issue Date Valuation
Expiration Date • • 11/09/14
------------
----------------------------
2 . 00
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE
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2_00-----
Due
Fee summary Charged
----- -----
. 00 . 00
Paid--- -------Credited
_ _ -------
_ _ ----- 90 . 00
Permit Fee Total 90 . 00 00 00 . 00
Plan Check Total • 00 . 00
4 . 00 4 . 00 . 00
Other Fee Total 00 . 00
Grand Total 94 . 00 94 . 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) 247-5 6 Fax (904) 247-5845
S PERMIT
JOB ADDRESS: -
#
100 AMPS ?_4 0 VOLTS I PHASIC
,IEA INFORMATION RE QUIItED ON ALL PERMITS Q�
VALUE OF WORK$
NEW SERVICE Overhead
[] Underground D Underground up Pole
CResidential(Main) Service ❑151-200amps ❑ amps # of Meters
❑0-100 amps 0101-150amps
;Commercial(Main) Service OCTService amps
❑151-200amps 0 amps g
u0-100 amps 0101-150amps Size
Conductor Type
OMulti-Family(Main) Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps # of Unit Meters
--Temporary Pole 0 amps
❑ amps
0 CT Service amps
SERVICE UPGRADE _----
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) amps
s ❑150amps
0200amps "0 amps OCT Service
n 100amp
.
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
31-100at�ps
Outlets/Switches: 0-30amps 31_100amps 7101-200amps
Appliances: 0-30amps
0-60at4ps 61-100atnps
A/C Circuits: kw
Eleat Circuits: # circuits @ ,
Number of Lighting OutletwInclud'ing Fixtures:
OTIIER ELECTRICAL PROJECTS ❑Transformers KVA ❑Motors hP
[7S`vimming Pool ❑ Sign ❑Smoke Detectors_Qh
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF TVORK S —
Qty volts/amps
[ZEPAIRS/MISCELLANEOUS /afetyIns ection ❑Panel Change ❑OH to UG
='Replace Burnt/Damaged Meter Can p
❑Other:
ns of laws and ordinances governing this work will be complied hof
here
1 ei nut
becomes void if work does not commence within a six month period o or work is suspended or abandoned for six months. 1 complied
it that I have
read this application and know the sane to be true and correct. All provisions
specified or not. The permit does not give authority to violate the provisions of any other tate or local law regulation construction ort performance
construction. + 713
Phgne Number
Property Owners NameG7�
- ��l- �.(C� Fax
ice one
Electrical Company
� S� City:
Co. Address: Z
i 1 State Certification/Pt
Nowry Public State of Florida leer
r� VISe 20
yrs'sro E 884631 da
oRw E"Pltss03117"2017 Before me this
Signature of Notary Public
k_ .