340 Ocean Blvd temporary pole permit 2S�J
s CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
v;s INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0019
Description: TEMP POLE
Estimated Value: 0
Issue Date: 9/1/2017
Expiration Date: 2/28/2018
PROPERTY ADDRESS:
Address: 340 OCEAN BV
RE Number: 170177 0010
PROPERTY OWNER:
Name: FOSTER GARY WAYNE
Address: 110 LEMON ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Address: 42 WEST 8TH ST CIA ALEX S. LIMBAUGH
ATLANTIC BEACH, FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work,a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
09/01/2017 13:51 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
� Ph(904) 247-5826 Fax(904)247-5845 t i=ry J 17 -00 (9
JOB ADDRESS. J 10 CiCco-n r:E;�VGP PERMPf#
,IEAINFORMATION REQUIRED ONALL PERMITS (FD AMPS er,h4OVOLTS PHnSF
VALUEOFWORKS 350• C)0
NEW SERVICE ❑ Overhead [❑ Underground [p Underground up Pole
1 IRasidential(Main)Service
00-100 amps 11101.150amps 13151-200amps fl amps #or Meters
OCommercial(Main)Service
JO-100 amps 1:1101.150amps 1-115 1-200amps ❑ amps ❑CT Service amps
Conductor Typo Size
:IMald-Family(Mala)Service
00-100 amps JW1:150amps 1:7151-200amps U amps of Unit Meters
f33Smporary Pole [-I— mPs
SERVICE UPGRADE FI amps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
M00amps IA50amps 0200amps 0 amps OCTService�amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-IOOamps 101-200amps
Appliances: 0.30amps 31.100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits � kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
CSwimming Pool Li Sign [")Smoke Detectore_Qty f7Transformers KVA riMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty,vohs/amps. VALUE OF WORK$
REPAMS/MISCELLANEOUS
CReplace Burnt/Damaged Meter Can []Safety Inspection I-Panel Change nOH to UO
C.10thar:
I'annit becomes void If work dots not commence within n six month period or work is suspended or abandoned for rix monthsi hereby certify that(have
Ted this aMliatlon and know the some to be true and comsat. All provision,of laws and ordinances goveming this work will he oomplled with whather
rpecided or not. The permit docs not give suthority to violate the provisions of my other stat,or loci law regulation eonsuuotlon or the porfmmance of
:onstnrction. .ma
�'// y
eroperty Owners Name 1 I�-E-. Pk 1 < < I CJ S Phone Number SL4CI— Zcn9
3lectrieal Company Lim T-VrAir(MA CcAt r-, ' ice Phonc' -q II-�SQ51 Fax
:o.Address: Lli-2 WC51- �s r` �}�O City A-W)nhi C bO:C ate FL Zip�33
Acense Holder(Print): � _ State Certificatioa:i4naisfoar, 2296
Vora ' '9sarrneeJlr�, r Ll��J V V
ISMSARAKaENNELLY
fl ? MY COMMISSION 060 077pS orn and su sc ed before m s day of 20 7
i • ExplaEs:M,rthtr.zazl
.H 'dI^rae�a,ammNanyrdaunam nature ofNotary Public C..�