2143 FRANCIS AVE - PERMIT TEMP18-0025 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0025
Description: 240 Volt 100 Amp OH Pole
Estimated Value: 350
Issue Date: 6/7/2018
Expiration Date: 12/4/2018
PROPERTY ADDRESS:
Address: 2143 FRANCIS AVE
RE Number: 169399 0002
PROPERTY OWNER:
Name: ATLANTIC BEACH COUNTRY CLUB INC
Address: 1600 SELVA MARINA DR
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Pht (904) 247-5$26 Fax (904) 247-5 45
JOB ADDRESS: 1 �G S PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS (JO AMPS C9% q—QLTS l PHASE
VALUE OF WORK$ S'50
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps P 151-200amps F amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps :JCT Service amps
Conductor Type Size
J Multi-Family(Main) Service
❑ 0 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
CST emporary Pole V 1 (lamps
SERVICE UPGRADE [_1 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-l 00amps 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
El 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 C,'Safety Inspection ❑Panel Change ❑OH to UG
❑Other: ::;?,-qo Vol f DO � O
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 Phone Number_
Electrical Company I( c ne� 2 I#aX
Co. Address: �h q4— Cityt ��1GRa� ipZ
License Holder (Print): S . 1__I State Certification/Registration#
Notarized Sint FIC 130022
96
BARBARAK.L#GG
LLY
MY COMMISSIOo`iw7 and subscr be of e is day of 20
EXPIRES:Ma2021BoWeam�,WAYe of Notary Public