1251 SELVA MARINA CIR - PERMIT ERES18-0157 OB/16/2018 21:12 904-2490703 BROOKS AM LIMBUAGH PAGE 01/81
EARLY POWER AGREEMENT& RELEASE
CITY OF ATLANTicHEACH
Electric Poway IS requested now under the conditions and terms of this fW),V executed Agreement&Release
Job Addyass: S.!r t I'�, A
�,C VAL I r
PermitXm 018 Service Type(Circle One):ovftZ�Utud
We,the undersigned General Contractor and Bleoulcal Contractor,understand and agree:
I-"Early Powee,13 puraly fbr our construction c
substitute for Fin Wavenlenc tlsW-Mu1redbYCgd�s, %nddoasM
til 15scction the Building ftjal,"
and as such is at t a I tationsg the C/o Qv� jon"o ccupanoy)that must a unued befoA occupancy,
2, The City of Atlantic Bea�h will Make a inspocttgnPr'ortothOcatlyPOWaOnwgizing- Allrough
msPectt0=must have pnor Approval,M910tolmll meter
3. 00-uRAncY Or uw?f the now consnotig before a fo
ol rm C/o 005stitutos fraudulax ffe of the early
Octfic service. uch,wtio itad imVpenadiza by The City of t ntic B
Ordinances.A violation of t91!!AmgmPreass,y?sKh11lr*sWt in a request foj prompt removal of a, each
after a twenty-four hour notice. cotric service
0
4. "Far'YPOwer"mlc%30autbOTitYistbeElwtricianan orthoContractor Must not occur befon.*
a. Pquipment�davices,and fixtures are,instaillew(or blanked oft)swily.
b. Panel is complete with breakers and cover,and(labeling required at final inspection).
C. Service comection and grounding is compleas.
d. The electric system has safely passed through electrical check.
0. Meter can is po' ently marked with address.
f. Tomporary ad,17numbers;displayed(permanent numbers arc required for C/o).
5- This full3v Completed form is to be submitted to the Building Department by hand,mail of Ia,,.
6.Future such Agreements will not be accepted from those Who Violate any One ofthe above Items.
CONTRACTO DATE
PRINT NAM
ELECTRICAL CO CTO DATE
PRINT NAM
800 Seminole ROM,Atlantic Beach Fl,32233 Phono:(904)247-582(5 Fax:
(904)247-5845 1111ASIULMWIM revised 0130 09
1
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
r IN�SPECTION_PHONE LINE�2.147-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0157
Description: new single-family home
Estimated Value: 49000
Issue Date: 5/18/2018
Expiration Date: 11/14/2018
PROPERTY ADDRESS:
Address: 1251-SELVA MARINA CIR
RE Number: 1719130000
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 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, Fl, 32233 (J
Ph (904) 247 26 Fax (904) 247-5845
JOB ADDRESS: Ck— fE_RMIT
JEA INFORMATION REQUIRED ON ALL PERMITS L 0+GOLTS PHASE
[(DOAMPS c9
V4LUE0FW0.RK$ q% 000
U
NEW SERVICE El Overhead Underground ED Underground up PoIe
IVResidential(Main) Service (I
/\00-100 amps 0 101-150amps 0 151-200amps )K 7bo amps of Meters
0 Commercial(Main) Service
00-100 amps 0 101-1 50amps 0 151-200amps O—amps OCT Service amps
Conductor Type - Size
OMulti-Family(Main) Service
00-100 amps 0 10 1-15 Oamps 0 151-200amps O—amps of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 0200amps 0 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign 0 Smoke Detectors_Qty 0 Transformers KVA 0 Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection OPanel Change OOH to UG
0 Other:
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 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 C�t Anlct, Phone NumberS(A-5--1
5 k--q OG Lx
Electrical Company Umb(!A� Extj:!�triccj (i�n-tr-(.AC--�-OTI��—JITr\hCone
Co.Address: 42 S�mtk city
License Holder(Print): A �a cnbcq_krl-� State Certification/Registration
Notarized Signature of License Holder
My
BARBARA K.KENNELL$Wol
_P4 and su 11cribed hefbrp_�is ay of 20
V%
MY COMMISSION#GG 078254 Ic
NEXPIRES:March 17,20:Sign; e of Notary Public
W
p
B a nd,
onded Thru Notary Public underwriters