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265 PINE ST ERES19-0079 ELEC PERM i rf'=L'rELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER ERES19-0079 CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD ISSUED: 3/7/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 9/3/2019 CODE,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 • 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. JOB ADDRESS: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 265 PINE ST ELECTRICAL RESIDENTIAL ELECTRIC PANEL CHANGE $1250.00 TYPE OF CONSTRUCTION: NUMBER: GROUP: 170561 0100 SALTAIR SEC 03 COMPANY: ADDRESS: LIMBALIGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233 CONTRACTING, INC. • ADDRESS: MAIRE ANITA PHYLLIS 265 PINE ST ATLANTIC BEACH FL 32233-4013 GELLER 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 4S5-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date:3/7/2019 1 of 2 ALL * INFORMATIONElectrical Permit Application HIGHLIGHTEDIN City of Atlantic Beach Building Department GRAY IS REQUIRED. { 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: S -0 07 JOB ADDRESS: 265 Pine Street PROJECT VALUE $$ 1,250.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE ❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole ©Residential(Main)Service: ❑0-100 amps 0101-150amps E1151-200amps ❑_amps #of Meters ❑Commercial(Main) Service: ©0-100 amps E3101-150amps 13151-200amps ❑ amps ❑CT Service amps Conductor Type Size Multi-Family(Main)Service: ❑0-100 amps [3101-150amps [1151-200amps []_amps #of Unit Meters ❑TEMPORARY POLE: amps ❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps ❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.): 171100 amps 1771150amps ❑200amps ❑ amps EICT 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: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection E]Panel Change ❑OH to UG ❑ether: Change out FPE panel Updated 10/17/18 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. errrti does notMuty rifto 101 to the provisions of any other state or local law regulation construction or the performance of construction. Owner Name: fit?"-OVIe Phone Number: � ) Electrical Company: Limbaugh Electrical Contracting, Inc. Office Phone: �� y(`Clicl>II Fax: Co.Address: 42 West 8th Street City: Atlantic Beach State: Fl. Zip: License Holder: J.. �'f State Certification/moi ra ion __ Notarized Signature of License Holder C I The foregoing instrument was acknowled re m this �ta j the State of lorida,County of ' .;�; = BARBARAK.KENNELI�fi at a of Notary Public 1C 1C h � MY COMMISSION#GG 078 EXPIRES:March 17,20 Pe nally Known OR I I Produced Identification ar• BwdedThruNotaNPuaicUnd ers Identification: �q. q•