133 Beach Ave. ERES19-0062 cLA%� ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
kERES19-0062
. . :. s> CITY OF ATLANTIC BEACH ISSUED: 2/20/2019
800 SEMINOLE ROADon 9%,../ ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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.
JOB ADDRESS: PERMIT TYPE: 1 DESCRIPTION: VALUE OF WORK:
300 amps/240 volts/single-
133 BEACH AVE ELECTRICAL RESIDENTIAL phase -demo existing elec $37000.00
for reno
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170213 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
SCROGINS WILLIAM C 2000 CHEROKEE DR NEPTUNE BEACH FL 32266
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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: 2/20/2019 1 of 2
„:,‘..„0,---,,,c, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER I
J' 1
�v''. I CITY OF ATLANTIC BEACH ERES19-0062
�r ISSUED: 2/20/2019
800 SEMINOLE ROAD
,�.1.` il9-' ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
TOTAL:$94.00
Issued Date:2/20/2019 2 of 2
Electrical Permit Application
*`ALL INFORMATION
3%i��` `, HIGHLIGHTED IN
1 City of Atlantic Beach Building Department GRAY IS REQUIRED.
r
'>' /( 800 Seminole Rd, Atlantic Beach, FL 32233
Cti_ t".5 (1—GDVa~
' —"T')-' Phone: (904) 247-582 mail: Buildin:-De•t • coab.us PERMIT#:
JOB ADDRESS: (.1 C h PROJECT VALUE $ �71 O 0 O
JEA INFORMATION REQUIRED ON ALL PERMITS: C/ AMPS 2 V VOLTS / PHASE
❑ NEW SERVICE: CI Overhead ❑Underground DUnderground up Pole
D Residential (Main)Service:
00-100 amps 1:1101-150amps 0151-200amps ❑ amps #of Meters
OCommercial (Main)Service:
00-100 amps 1:1101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps 13151-200amps 0 amps #of Unit Meters
El TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps OCT Service amps
E NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 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
n FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
n REPAIRS/MISCELLANEOUS:
DReplace B a t/Darnaged M er Can ■ afety Inspection DPapel C ange DOH to 1.1
- JG
/ `' CIL'l Phil C6& Updated 10/17/18
Permit 'ecomes 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 per not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. �C O 1 1 ' _5 -i �- 1 C--7 S
Owner Name: r C Phone Number: _> d t
Electrical Company: Lim 1 Ve-C_{rt CC_-I i e Phone: 24( 0 Fax:
Co.Address: ill l L es 6 h Steck-k ,{� City:/ t t�t(1t4C-eC& te: FL. 7 p: •
ZZ j'
License Holder: A(' - Lk t!� �.kik ` State Certification/R r I -
Notarized Signature of License Holder Ini
The foregoing instrument was acknowledged before e this ( y R..-67-20� �, I , the St t of Florida,County of
~— of Notary Public
�-'�I_C`w`�-
/Ai . s BARBARA K.KENNELLY '
F,: :*! 07872 Known OR I I Produced Identification
In.w,.._-_-:4,1;:q EXPIRES:March 17,202
a„aea mti Notary f Identification:
•,• Public Undarwn
Cash Register Receipt Receipt Number
City of Atlantic Beach R8205
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $94.00
ERES19-0062 Address: 133 BEACH AVE APN: 170213 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R8205 $94.00
Date Paid: Wednesday, February 20, 2019
Paid By: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Cashier: CT
Pay Method: CREDIT CARD 210251
Printed:Wednesday, February 20,2019 1:15 PM 1 of 1
ixiuur
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0062
r ISSUED: 2/20/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
300 amps/240 volts/single-
133 BEACH AVE ELECTRICAL RESIDENTIAL phase -demo existing elec $37000.00
for reno
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170213 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
OWNER: I ADDRESS: CITY: STATE: ZIP:
SCROGINS WILLIAM C 2000 CHEROKEE DR NEPTUNE BEACH FL 32266
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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: 2/20/2019 1 of 2
'yLvr,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
'S r
J i� �':`� ERES19-0062
CITY OF ATLANTIC BEACH
'`�.. ." ISSUED: 2/20/2019
800 SEMINOLE ROAD
�-_0'; 9.''' ATLANTIC BEACH. FL 32233 EXPIRES: 8/19/2019
TOTAL:$94.00
Issued Date: 2/20/2019 2 of 2