180 Sandy Beach Ln temp pole repair permit CITY OF ATLANTIC BEACH
' 800 SEMINOLE ROAD
;ter
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0082
Description: Repair Temp Pole 100 amps 260 volts 1 phase
Estimated Value: 750
Issue Date: 3/13/2018
Expiration Date: 9/9/2018
PROPERTY ADDRESS:
Address: 180 SANDY BEACH LN
RE Number: 173414 0160
PROPERTY OWNER:
Name: BEACHES HABITAT FOR HUMANITY INC
Address: 797 MAYPORT RD
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.
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.
* 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$7,500.
03/08/2018 20:28 904-2490703 BROOKS AND LIMBUAGH PAGE 01/01
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTiC BEACH
800 Seminole Rd, Atlantic Beach.,FL 32233
Ph(904) 247-5826 Fax (904) 2475845
Jala,ADDRESS:
k , r-0 PERMIT #
c
,TEA INFORMATiON REQUIRED ON ALL PERMITS —/AMPS VOLTS PiIA.S1E
VAL UE OF WORK S '?
NEW SERVICE ❑ Overhead ❑ Underground Ol Underground up Pole
I I Residential(Main)Service
1.10-100 amps 11101-150amps 11151-200amps I 1—amps #of Meters
i.Xommercial (Main) Service
I'10-100 amps 1 1101-150amps I: 151-200a.mps amps I ICT Service—amps
Conductor Type Size
IMuiti-Family(Main) Service
1 I0-100 amps 1 1101-150amps 1 1151-200amps ! amps # of Unit Meters
I.ITemporary Pole 1 I amps
SERVICE UPGRADE f amps I I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
..1100 amps 1'.1150amps 11200amps I amps I ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1,00amps 101-200amps
Appliances: 0-30a.mps 3 I-100amps 10'1-200amps
A/C Circuits: 0-60amps 61-100a.mps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROTECTS
I (Swimming Pool I l Sign I (Smoke Detectors Qty (Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of piAns) {JAL UE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
1.:1Replace B Mt/Damaged Meter Can i Safety inspection I. IPaneoo{,�Change I IOi�i to UG
thcr: � ) r CiiS �� roV�`�
permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. i hereby ccrti fy 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
spociried or not. The peiinit docs not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name b 1 Phone Number
firi l t 'iC�� face Ph.ortc�.4' —CA OS( Fax
Electrical Company ��
1-2
Co. Address: �'� ` h City aL SC'_6_9MZ ;C ! dip 5
License Holdcr (Print): A State Certi.ficationJRegistration
Notarized Signature of License Holder
Swoni and sub ribed befo n this day ofl' l �,C,&-- 20-LR
Signature
04 0-
Signature of Notary Public ���/ �``