1600 Selva Marina Dr elec permit iyl,l r
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OBINFORMATION:
Job ID: 16-ELEC-2843
Job Type: ELECTRIC ONLY
Description: Four (4) 3 phase, 100 amps, 200 volts heat pump circuits &
two (2) 3 phase, 40 amps, 200 volts water pump circuits
Estimated Value: $15,000.00
Issue Date: 12/20/2016
Expiration Dace: 6/18/2017
PROPERTY ADDRESS:
Address: 1600 SELVA MARINA DR
RE Number: 169399-0000
PROPERTY OWNER:
Name: ATLANTIC BEACH PARTNERS, LLC
Address: 414 OLD HARD RD SUITE 502
GENERAL CONTRACTOR INFORMATION:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
,EC13002296
Address: 42 WEST 8TH ST CA ALEX S. LIMBAUGH
Phone: -
FEES:
AC Circuits $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERNOT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDMG CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
' rnPh(904)247-5826 FFinc (904)247-584 'l t(p"'�LV--ag�
JOB ADDRESS: IS"U Q MG—r; nc- V PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS /VJO,L�TQSS PHASE
VALUE OF WORK$4
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 11151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0101-150amps 0151-200amps ❑ amps ❑CTServiceamps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps D101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits (a) kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/DV11gel 4Meter C/a v*g sr7�,tylasoectia9 ( ;Qan e �)OHtus G
Other: /I"s —�`oP"',I/�'�'J�'�•�187 I/$'yQ°'( 'I*/I�Nif7f�A-y 4#1ene—CC
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 govemin vdwill be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law mgulat ti n the performance of
construction. (� �,',y ��r•r �p /�
Property Owners Name�hrjCIj P .11et(/`i-1.1 (Cln� ((yr, rr'P���hmmmo���ne Number 7yI —U-1 Kt
Electrical Company m '` fit"c-) l I�I�IY6ac rr ; ne yQ � SUS Fax
Co.Address: (-�� k�J� � J� City AJ-Vani , &OC-Sfate FLZip O�
License Holder(Print : (lfy�, S • A21 (1 Ct. h State Certificat"'a"IM22n6
cz7
Notarized Signature of License Holder
nervy vaexe sa.a�roFor e this 20
Barbara Kaye KennealHly
atY Cammawn EEaa Jl a eofNo Public
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