65 19TH ST ERES19-0013 ELECTRICAL PERMIT ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH
ERES19-0013
800 SEMINOLE ROAD ISSUED: 1/11/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 7/10/2019
MUST CALL INSPECTION PHONE • 1 . 247-5814 BY . PM FORINSPECTION.
CODE,ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
OF • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
• : A11 ' : - t • OF i '
65 19TH ST ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $600.00
phase - relocate wiring
TYPE OF
• • GROUP:
169723 1040 NORTH ATLANTIC
BEACH
• ® � � • CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL 42 WEST STH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
• ADDRESS: CITY: STATE: ZIP:
MATTINGLY PAUL G II 65 19TH ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF i i •
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 45S-0000-322-1000 0 $S5.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date: 1/11/2019 1 of 2
r- Electrical Permit Application '"ALL INFORMATION
/ Mpr HIGHLIGHTED IN
/J y y1 ` City of Atlantic Beach Building Department GRAY IS REQUIRED.
G ^' 800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: .Building-Dept@coab.us PERMIT#:
JOB ADDRESS. 65 19th Street PROJECT VALUE $ 00
JEA INFORMATION REQUIRED ON ALL PERMITS: CAMPS Li L VOLTS�_PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
❑Residential (Main)Service:
❑0-100 amps 0101-150amps [31S1-200amps []_amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps E1101-150amps 11151-200amps El------amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
[1100amps 0150amps 0200amps ❑ 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:
❑Swimming Pool ❑Sign ❑Smoke Detectors _(Qty) ❑transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
17-1 Replace B n /DampBed Mete Can ❑Safety Inspection FPanelChange�Vj ]OH to UG
then. OVA _-Hj tydUodated 10/11/18
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 —I 4
Owner Name: LI no ell Irlcf\IF Phone Number:
Electrical Company: Limbaugh Electrical Contracting, Inc. Office Phone:. `C v " Fax:
Co.Address: 42 West 8th Street City: Atlantic Beach State: FI lip: 32233
License Holder: Alex S. Limbau h n State Certification/Registration
Notarized Signature of License Holder A --- 1
The foregoing instrument was acknowledged before met is ) o —jain the Sta i5f Florida,Count o C % c
C
BARBARA K.
KENNELLY Signat Notary Public
MY COMMISSION#GG 078254 [ personally Known OR [ ] Produced Identification
EXPIRES:March 17,2021 Type of Identification:
?�„o,• Bonded Thru Notary Public Underwriters —---