123 Magnolia St 2014 elec CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
14-00001252 Date 8/06/14
Application Number 123 MAGNOLIA ST
Property Address . . • •
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
OUTLETS SWITCHES
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Owner Contractor
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LOMBARDI, RICHARD LIMBAUGH ELECTRICAL CONTRAC
42 WEST 8TH STREET
123 MAGNOLIA 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 . . . . 59 . 80 0
Issue Date Valuation
Expiration Date . . 2/02/15
2 . 00
Other Fees
STATE EL
EC DCA SURCHARGE
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged
Paid--- Credited
----------------- ------- ------- . 00
Permit Fee Total 59 . 80 59 . 80 00
00
. 00 . 00 . 00
Plan Check Total 4 . 00 . 00 . 00
Other Fee Total 4 . 00 . 00
Grand Total
63 . 80 63 . 80 . 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) 247-5826 F 04) 247-5845
JOB ADDRESS. �Z3 rf)ck-G(10l
1'0 PERMIT#
1p
/I�•, �-
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
-]Residential(Main) Service
❑0-100 amps E,101-150amps I]151-200amps amps # of Meters
Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
E10-100 amps 101-150amps ❑151-200amps C] amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE [ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1-1150amps ❑200amps u' amps DCT Service amps
ADDITIONS,REMODELS, PAIRS,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:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA C1 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
CI Safety Inspection ❑Panel Change ❑OH to UG
D,Replace Burnt/Damaged Meter Can
Other:
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 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. , ��C
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Property Owners Name " C Ply ber
Electrical Company U�l 1 C'G k e —161 Fax_
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Co. Address: � City l�-� 1T 1 C rZlp
h State Certification/RegistraCn —
License Holder(Print)
Notarized Signature of License Holder
ter► Notary Public State14�re this ay 20 _
j- Barbara Kaye Kennelly
ply commission EE Rtmiatune of Notary Public
�* Expires0311mo17