1580 W Park Ter ERES18-0159 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
PHILLIPS DAVID B 1580 PARK TER W ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
LIMBAUGH ELECTRICAL
CONTRACTING, INC.42 WEST 8TH ST ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171943 0000 SELVA MARINA UNIT 02
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
1580 W PARK TER ELECTRICAL RESIDENTIAL
200 amps/240 V/single-
phase - elec kitchen remodel
- Renewed
$7460.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
BUILDING PERMIT RENEWAL 455-0000-322-1000 0 $78.40
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $8.00
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 12 $7.20
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.20
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts, state agencies, or federal agencies.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
1 of 2Issued Date: 5/18/2018
PERMIT NUMBER
ERES18-0159
ISSUED: 5/18/2018
EXPIRES: 7/9/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL: $156.80
2 of 2Issued Date: 5/18/2018
PERMIT NUMBER
ERES18-0159
ISSUED: 5/18/2018
EXPIRES: 7/9/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 1 ,/l^& PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS
9U-O
VOLTS PHASE
VALUE OF WORK$--7Q1P6-0`60
NEW SERVICE Overhead Underground T Underground up Pole
Residential (Main) Service
00-100 amps 101-150amps 151-200amps amps of Meters
Commercial(Main) Service
00-100 amps 101-150amps 151-200amps amps 0C Service amps
Conductor Type Size
Multi-Family(Main) Service
00-100 amps 101-150amps 151-200amps amps of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 0200amps amps OCT Service amps
ADDITIONS,REMODELA,REPAIRS,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 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change [I OH to UG
Other: t(" "Ve
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.
Property Owners Name 00"Ij IJP t I Lt Phone Number
Electrical Company UM llfC;t-rt C A Cbn+rnC16%eePhone Z4—C10S1 Fax
Co.Address: Lk City A4 `C'-n+ t B a e zip3Z2! 3
License Holder (Print): Statept}fi ($gilttoT n r
Notarized Signature of License Holder
JJ 130071
q•"'' BARBARAK.KENNELLY rn and sub cribed before his tray of 20
MY COMMISSION#GG 078254
EXPIRES:March 17,20211 ature of Notary PublicBondedThruNotaryPublicUnderwnty