1869 SEA OATS DR ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0060
yr 800 SEMINOLE ROAD ISSUED: 2/19/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 8/18/2019
MUST CALL INSPECTION •NE LINE (904) 247-5814 BY • PM FORDAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENTi • t OF • i BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT i • r 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.
JOB ADDRESS: PERMITTYPE: DESCRIPTION-. _�V�ALUE OF WORK:
1869 SEA OATS DR ELECTRICAL RESIDENTIAL 200 amps/240 volts/single- $400.00
phase - add outlet & fixture
TYPE OF t
ZONING- :D •
• • GROUP:
172020 0538 SELVA MARINA UNIT 09
COMPANY: ADDRESS:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
• ADDRESS:
KLEIN KARL M 1869 SEA OATS DR 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 CONDITIONS
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 LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 1 $0.60
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $0.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
Issued Date:2/19/2019 1 of 2
rr ; Electrical Permit A lication "ALL INFORMATION
pp HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 478 ail: ildin coab.us PERMIT#: t_S1 4 (,
JOB ADDRESS: 1 PROJECT VALUE $ -t
JEA INFORMATION REQUIRED ON ALL PERMIT5���MPS,-Nt-40LTS PHASE
❑ NEW SERVICE: [3 Overhead nderground []Underground up Pole
#Residential (Main)Service:
❑0-100 amps 01.01-150amps [3151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps 0101-150amps [1151-200amps ❑ amps []CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps []1S1-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
E] SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E]100amps ❑150amps 0200amps ❑ amps OCT Service amps
LJ ADDITIONS, REMODILS, 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 QSmoke Detectors (Qty) [-]Transformers KVA ❑Motors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety Inspection ❑Panel Change []OH to UG
uUdared 10/1 /18
❑7ther.
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 authorit to violate the provisions of any other state or local law regulation construction or the epperformancg,of
construction. 2C}/Q
Owner Name: rn� S Phone Number:
Electrical Company:U fy1 t"t al bltrC4�V,Ge: 1C Ly t'C Fax:
Co.Address: L42 Si t ll t City:
lCsnt►C GC'State: F(-zip:
License Holder: LI rn State Certification/Regist 14 nnnne%nill
Notarized Signature of License Holder I ? EC
The before metis d ,20�, in the S e of F r' a,County of
�;{�:►y'''• BARBARAK.KENNELLY "Ct+ � ' ,
MY COMMISSION#GG 0782545' ature of Notary Public J�1.�
"'• '` EXPIRES:March 17,2021
: ��' BondedThruNoteryPuDlicUndeiwrte Personally Known OR I I Produced Identification
9,„11,,
e of Identification: