159 Ocean Blvd 2014 temp pole J n, CITY OF ATLANTIC BEACH
l 800 SEMINOLE ROAD
j wI ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ry r,•l�]�f
Application Number . . . . . 14-00001461 Date 9/04/14
Property Address . . . . . . 159 OCEAN BLVD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES SF DISTRICT
Application valuation . . . . 0
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Application desc
temp pole
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Owner Contractor
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HUDSON LIMBAUGH ELECTRICAL CONTRAC
159 OCEAN BLVD. 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . TEMP POLE 60 AMPS
Permit Fee 90 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date . . 3/03/15
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ----------
---------- ---------- ----------
Perm
it Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
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 Ar'�
l
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 5�R t A P�l 1'1 �I� PERMIT #
AMPS Vl 4P VOLTS / PHASE
INFORMATION REQUIRED ON ALL PERMITS 2!`g
VALUE OF WORK S
NEW SFrRVICE X Overhead
[] Underground E3Underground up Pole
C Residential (Main) Service ❑151-200amps 0 amps # of Meters
0 0-100 amps [1101-150amps
F ComD 151-200amps D amps
Commercial (Main) Service r OCT Service amps
�0-100 amps D 101-150amps
Conductor Type Size
❑Multi-Family(Main) Service 0151-200amps D amps # of Unit Meters _
0-100 amps 0101-150amps
emporary Pole 0&_amps
yy`` amps 0 CT Service amps
p
SERVICE UPGRADE
NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES,ETC.) DCT Service amps
100 amps 0150amps 0200amps -D, amps
ETC.
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURE1-200amps
31-100art-ps ----7-101-2 00 amps
Outlets/Switches: 0-30atnps 31-100amps ____--
Appliances: 0-30amps
0-60at4ps 61-100atnps
-,%C Circuits: kw
lleat Circuits: # circuits @
Number of Lighting Outlet„Includ'ing Fixtures:
O'T'HER ELECTRICAL PROJECTSDTransformers KVA DMotors hp
0Swimming Pool D Sign DSmoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF TVORK —
Qty volts/amps
ta�;PAMS/MISCELLANEOUS
❑Safety Inspection DPanel Change DOH to U
[j Replace Burnt/Damaged Meter Can
❑Other:
Permit l:ecomes void if work does not commence within a six month period or work is suspended or abandoned or this work whll be complied r�certifythat
lwhether e
read chis application and know the same to be true and correct. All provisions of laws and ordinances governing
;pecifie�
i 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.
Phone Number
Property Owners Namer1 ice Phone 2-`+�� � Fax —
Electrical Compan fYl �1� dytate�L Zip
rccu
h City
Co. Address: EC13_QQ 9-6-----
r
State Certification/Registr' n
Licens:: Holder (Print)-
Notarized;igiialur o
L VJ 1
�
to
t�o � �e Kennelly
Barbara Kay "v6��iS a
My Co
Expires �-
tgnature 0f Notary Public