1600 Selva Marina Drive ERES18-0304 (Commercial Electric) 09/12/2018 22:11 904-2490703 BROOKS AND LIM"GH PAGE 01/01
ELECTRICAL PERI�HT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
(904)247-5926 Fax (904)247-5845
QC) fnCo��I�PERMIT
JOB ADDRrSS:
JEA INFORMATION REQUIRED ON ALL?ERMIT$QaQ AMPS
VALUE oF woNz s_--LQ�r
�00
NEW SERVICE 0 overhead Underground [D Underground up Pole
DResidentifil(Main)Service f
00-100 amps o10I-150amPS X,51-200amps I I amps 4 Of Maters
I Commerchd(7"11)Service o 1 51-200amps 0 amps nCT Service smile
00-100 amps [.1101-150amps
Conductor Type------�� Size
1 ]Multi-Family(Main)Semea 9 of Unit Meters
f]0-100 amps 11101-150amps Li 15 1-200amilri 0--amps
ElTemporitrY Pole
SERVICE UPGRADE li—amps C3 CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRrcTURES,ETC-) CTSer','._amP,
0100amps 0150amps 02000LMPS 11-----amp5 L
ODEIg"REpAIRS,BUMD-OUTS,ACCESSORY STRUCTURES,ETC.
ADDITIONS,REM 101-200amps
Outlets/Switahes: 0-30amps 31-100amps
Appliances: �' 0-30amp3 —3 1.1 00amps —101-200amps
AIC Circuits: 'k, U-60amps =61-100amPs
Heat Circuits: X� # circuits @ 10 kw
Number of Lighting erut-le-ts, Including rixtures:—
OTBER ELECTRICAL PROJECTS KVA j
oSwimmingPool nsign I]Smoke Detectors—QtY ElTransf"Gui— _1motors_bp
V=ALARM SYSTEM (Requires 3-0 Of Plans) PAL UE OF WORK
Qty—volts/amps�
REpAIRsmscELLANEOUS � Safety inspection I Ranel Change I J014 to UG
oReplace Burnt/Damaged Motor Can
Elotha: 11011111
-Fj,� 7jtA—j,,,dx=ntb pariod or work i slxWdWor abandoned fbr six overrun, I nrumFoo'Hy that I have
it beenours void If wom d=no'on"no.11- e complied with whether
rad this application and know the me W bt,tru,wrd oemot. All PrOvimmu oflaws mid ordinfirm governing this work will b or the perionnance of
swiflad or not, 'Do parrort dam not give authority to violate the provisions ofany other star-or)ocal law magImilGO em"noone"
connotation. —1-52
CkEbtDb Number4D,4—
property0wrieniN e,
Electrical Comp *Cca City Phonp —air SZZ3
Co.Address: 4 -fi njR tration#
StateCertl catio e
License HOIddr(Print):
Nolerrized Signedum ofLicense Holde
7qA41.PM—K,7KENN6LLY S ontand ub cribedbe e is yof
NNCLLY S 0
Myc0WIe=N#GG078254
_c 'rN Go 07
� IRES:March 17,2021
tj7M re 21 �j o otary Public.
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CITY OF ATLANTIC BEACH
800 SENIINOLE ROAD
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: ERES18-0304
Description: 200 Amp 240 Volt Single Phase
Estimated Value: 1050
Issue Date: 9/13/2018
Expiration Date: 3/12/2019
PROPERTY ADDRESS-
Address: 1600 SELVA MARINA DR
RENumber: 1720000010
PROPERTY OWNEM
Name: ATLANTIC BEACH COUNTRY CLUB INC
Address: 1600 SELVA MARINA DR
ATLANTIC BEACH, FIL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Address: 42 WEST 8TH ST QA ALEX S. LIMBAUGH
ATLANTIC BEACH, FIL 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.
Cash Register Receipt Receipt Number
City of Atlantic Beach R6320
DESCRIPTION ACCOUNT
Permit I KAK $63.80
ERESIS-0304 Address: 1600 SELVA MARINA DR APN: 172000 00107!!!!! $673.80
ELECTRICAL $59.80
ELECTRICAL BASE FEE 455-0000-322-10M 0 $55.00
0'j 00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $4.80
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 4S5-0W&208-0jL710 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 Q.EJ2 10
TOTAL FEES PAID BY RECEIPT: R6320 $63.80
Date Paid:Thursday,September 13,2018
Paid By: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Cashier: BA
Pay Method:CREDIT CARD 9
Printed:Thursday,September 13,2018 3:02 PM I of 1