ERES18-0204 CITY OF ATLANTIC BEACH
n 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
'-on v' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL-
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0204
Description: Replace Weather Head 100 Amp 240 Volts
Estimated Value: 1500
Issue Date: 6/20/2018
Expiration Date: 12/17/2018
PROPERTY ADDRESS:
Address: 422 OCEAN BLVD
RE Number: 170170 0000
PROPERTY OWNER:
Name: REVOCABLE INTER VIVOS TRUST AGREEMENT OF GAYLE G
MILLER
Address: 6847 SAN SABASTIAN AVE
JACKSONVILLE, FL 32217
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Address: 42 WEST 8TH ST CIA 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
RPh(904) 247-5826 F (4) 247-5845
JOB ADDRESS: -{'r�4� A�11-�('� �I�U� �, jr n PERMIT# -OZo�
JEA INFORMATION REQUIRED ON ALL PERMITS V�MPs o2'"T QOLTS I PHASE
VALUE OF WORK$ 1,500
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
OReddential(Main)Service
00-100 amps L 101-150amps 0151-200amps J amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps i 1 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 0101-150amps 0151-200amps I amps #of Unit Meters
❑Temporary Poled amps
SERVICE UPGRADE f amps I 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps L1150amps i200amps 0 amps OCTService amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-I00amps 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 OSign 7 Smoke Detectors_Qty ❑Transformers KVA OMotorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Bum amaged Meter Can ❑Saffe y Inspection1- Lr , ❑Panel Change DOB to UG
,lt ther. M' l rP ( E 1Pn 1 f ICS CACt
MENOMONEE
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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 noL The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. � Q I/^
Property Owners Name C� /
Ci1 I 1 t LI I Phone Number �Zw �ggG
Electrical Com1pa1nyU tY11J�G.LLAL) E Qari ct l (� Ic
ntMai e one 24 ' i Fax __��
Co.Address: -2 WAS{ a 'h �� CityA 1 �orttl —zip-SG1 �-5
License Holder(Print): State Certification/R isitiL96
Notarized Signatur
aARBAM K.KENNELIr ( � � �
MYcoMMIssIONaIkAW%a dsubscri d ef�dlis ./�lJ dl
ay of -.L.I"C� 20
EXPIRES
EK/ NN Marth 11 1021 of Notary Public
MNM �/� -( }(`✓� ��
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