1251 SELVA MARINA CIR - TEMP POLE � lea
`�' ' CITY OF ATLANTIC BEACH
610 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"tos319k' I INSPECTION PHONE LINE 247-5814
ELECTRICAL EMP POLE -
MUST CALL BY 4PM FOR NEXT AY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0021
Description: TEMP POLE
Estimated Value: 0
Issue Date: 10/4/2017
Expiration Date: 4/2/2018
PROPERTY ADDRESS:
Address: 1251 SELVA MARINA CIR
RE Number: 171913 0000
PROPERTY OWNER:
Name: BUDNICK TODD S
Address: 370 12TH ST
ATLANTIC.BEACH, FL 32233-5437
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Address: 42 WEST 8TH ST OA ALEX S. LIMBAUGH
ATLANTIC BEACH FL 32233
Phone:
PERMIT INFORMATION:
Please see attached conditions of approv I.
WARNING TO OWNER: YOUR FAIL RE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT I YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPE TY. A NOTICE OF
COMMENCEMENT MUST BE RECO ED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECT ON. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YO LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTI E OF COMMENCEMENT.
* A notice of Commencement is only required or work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commen ement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PE... ; T APPLICATION
CITY OF ATL'NTIC BEACH la 6/i P('}— 04 `
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 24 - 826 Fax (904) 247-5845P0 (
ADDRESS:DRESS, _____a__ ! ( CA lia. C r PERMIT#
PISA INFORMATION REQUIRED ON ALL PERMITS _6_2_—AM S 9`6C7 VOLTS ( PHASE
VALUE 0;i WORK,
NEW SERVICE Of Overhead El Undergrow nd [_T Underground up Pole
UResidential (`lain) Service
0Q-100 amps 0101-150amps CJ 151-200a ps Ci amps # of Meters
Q Commercial(Main)Service
00-100 amps 07101-150amps 8151-200a1 ps L] amps OCT Service amps
Conductor Type Site
p Multi-Family(Main) Service I
100 amps 0j.s150amps 0151-200a; ps 0 amps #of Unit Meters
,emporary Pole Li arnps I
SERVICE UPGRADE C1 amps 0 C Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURE',ETC.)
07100 amps fJ i S0amps ❑200amps El tops OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACC SSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100 tops 101-200amps
Appliances; 0-3Qamps 31-l00amps 101-200amps
A/C Circuits: 0.60amps m61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
LI Swimming Pool ❑ Sign 0Smoke Detectors Qty 0Transformers KVA L;Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
LiReplace BurntlDamagecr,Meter Can 0Safety Inspection LiPanel Change DOH to UG
Li Other;
-?-���.-.. «Y,.am.r ,14orwootr+r ,:-:_r r+` toh'e'r :&K-4u,i§`' ?4`ad ,k;.4s:�.: .+n.wr' z.£€.:. t"`ez+ fi.e-. .c..JY; .+'r '#�i2.Y.s;
Permit becomes void if work cioes not commence within a siftmonth period or work is suspended or abandoned ft t pk ntia�.M MJ�1§ t . ,e.
read this application and know the same to be true and correct. All provisions of laws and ordinances governing t' V ci4:- be MI' '411 111,1Vrrs
specified or not. The permit does not give authority to violate the provisions of any other state or local law regula ,rntfftikfin3Re't• it-: ;:;.n _c
construction.
Property Owners Name__. teN V \ Phone Number�.
Electrical Company l __ 4gtechicaC Phone 2(- _-q05( Fax
r _
Co. Address: 4-2_ ` n` ..: a' ����,.City n: c t. _Ftip`g22--S3
License Holder(Print): . S• ittli. rai t State Certification/ ti ..4.,
1' tt� �eafaatur�r� L r� �a
'..0 �
� F EC130o
�`�— 'I�nCWg3tE rl`` su (.cii eta before 'tlt _2(2___day ofF. 20 11
,i__q:h1arcii 17,2021 i / 0 I
InruNotary Pn i r iJ', I f NotaryPublic_ - r—. `r'