43 Stanley Rd ERES19-0122 OH to UG permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0122
yr 800 SEMINOLE ROAD ISSUED: 4/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 10/20/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, ' OF BEACH CODEOF 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.
VALUE OF WOR
200 amps/240 volts/first-
43 STANLEY RD ELECTRICAL RESIDENTIAL phase - change OH svc. to $2400.00
UG svc.
TYPE OFBUILDING USE
ZONING: :D •
• • GROUP:
172186 0000 DONNERS R/P
COMPANY: ADDRESS:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
• ADDRECC-
SS.
A CUT ABOVE TREE 72 LEVY RD ATLANTIC BEACH FL 32233
SERVICE, INC.
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
Issued Date:4/23/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0122
800 SEMINOLE ROAD
ISSUED: 4/23/2019
Olt ATLANTIC BEACH. FL 32233 EXPIRES: 10/20/2019
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date:4/23/2019 2 of 2
Electrical Permit Application *'"ALL INFORMATION
Srlr Xjj, pp HIGHLIGHTED IN
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#: C
JOB ADDRESS: 43 Stanley Road PROJECT VALUE $$2,400.00
IEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS t PHASE
❑ NEW SERVICE: El Overhead ❑Underground ❑Underground up Pole
EiResidential (Main) Service:
00-100 amps [3101-150amps [1151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps [3101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service:
❑0-100 amps [3101-150amps [11S1-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
❑ SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
C1100amps ❑150amps ❑200amps []_amps OZT 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 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 HCH to UG
❑Dther: Change Service from OH to underground 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. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. � ' �{ 1
Owner Name: Glen Lewis Phone Number: `S
Electrical Company: Limbaugh Electrical Contracting, Inc. Office Phone: cl�q q ( Fax:
Co.Address: 42 West 8th Street City; Atlantic Beach State: FI. Zip: 32233
License Holder: State Certification/ReE io
Notarized Signature of License Holder
The foregoing instrument was acknowledged before te thi _ J d n y r 20 in the State o Florida,County
-tRNotary Public ��
na feaf No a y ub c /C
EE*.,.,,.
:E'
ARBARA K.KENNELLYCOMMISSION#GG 078254 ] Personally Known OR [ ] Produced Identification
XPIRES:March 17,2021 pe of Identification:dThrvNotaryPublicUnderwriters