494 BEACH AVE - ELECTRIC REPAIR , 0,,.„.,:r,
6, ' `i, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,v v ATLANTIC BEACH, FL 32233
"!�;3 �' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0124
Description: REPAIR SERVICE FROM THE STORM
Estimated Value: 0
Issue Date: 9/14/2017
Expiration Date: 3/13/2018
PROPERTY ADDRESS:
Address: 494 BEACH AVE
RE Number: 170166 0000
PROPERTY OWNER:
Name: SIMPSON ROBERT L JR
Address: 494 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Address: 42 WEST 8TH ST QA 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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (90 247-5826 Fax (904) 247-5845 (.RaSc 7 ( z 4-
JOB ADDRESS: t4C14 l4 CL�� L.LSQ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 1 5-0 AMPS SCeP VOLTS / PHASE
VALUE OF WORK$59s cC
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
I0-100 amps 101-150amps 151-200amps amps #of Unit Meters
:Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other: dr 1 _ /a A.
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 1 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 -1111 �Q d1 a _ Phorte Number —G24_99_101)____
Electrical Company LtYY1 [ EL rtCW t� j 7,1 � 6 ax
Co. Address: Z � 1(' City a Wath' . r t 7ip -: ZZ�
License Holder(Print): l �i .c• �!� ��ft._!=L State Certifrcation/RegtciU 002296
Notarized :., ^��,� 1 �..! Ili _ 41111
MY COMMISSION 8 018254 I A
• EXPIRES:march Awn n a d subscr bed :efo e his r e• of /:. 20 r7
gati Bonded Thru t oarY Pubs Uudembe" /
- of Notary Public AMI rand kiwi aka—A.
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