393 3rd St ERES19-0130 Add A/C Circuit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' > CITY OF ATLANTIC BEACH ERES19-0130
800 SEMINOLE ROAD ISSUED: 5/1/2019
ATLANTIC BEACH, FL 32233 EXPIRES: 10/28/2019
CODE,MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION,
AND CITY 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:
3933RD ST ELECTRICAL RESIDENTIAL 150 amps/240 volts/first $500.00
phase -add AC circuit
TYPE OF SUBDIVISION:G USE
CONSTRUCTION: NUMBER: GROUP:
169825 0010 ATLANTIC BEACH
COMPANY: ADDRESS:
LIMBAUGH ELECTRICAL 42 WEST STH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
• ADDRESS:
STEVENS MICHAEL L ET AL 393 3RD ST ATLANTIC BEACH FL 32233-5231
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 AIR CONDITIONING CIRCUITS 455-0000312-1000 0 $5'00
ELECTRICAL BASE FEE 4550000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208000 0 $2,00
STATE DCA SURCHARGE 455-0000-208-0600 0 $200
TOTAL:$64.00
Issued Date:5/1/2019 1 of 2
ALL
" INFORMATIONElectrical Permit Application HIGHLIGHTEDIN
I City of Atlantic Beach Building Department GRAY 15 REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-DeptCcDccab.us PERMIT#: t 6E51`i-0f3U
JOB ADDRESS: 3933rd Street PROJECT VALUE$$500.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE
❑NEW SERVICE: DOverhead #Underground DUndergroundup Pole
17tesldential(Main)Service:
E30-100amps CIL01-150amps 0151-200amps lamps #of Meters
OCommerclal(Main)Service:
DO-100 amps 0101-150amps 13151-200amps 0_amps ❑CT Service amps
Conductor Type Size
ONlulti-Family(Main)Service:
[1-100 amps 0101-150amps 13151-200amps Damps of Unit Meters
[]TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑_amps ❑CT Service_amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
01D0amps 0150amps 13200amps ❑ .....amps MService_amps
❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches: 0-30amps 31-100amps _101-200amps
Appliances: 10 0-30amps 31-100amps _101-200amps
A/C Circuits: �_0-60amps 61-100amps
Heat Circuits: _p 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 ❑Panel Change ❑0H to UG
Other: updaree top 1118
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 perfo�anCe of
construction. •�. 1�7,. 37 L
owner Name: Mark Stevens Phone Number: 1
r' i
Electrical Company: Limbaugh Electrical Contracting,Inc. office Phone: .a7Li I`(l�5 I Fax.
Co.Address: 42 West Bth Steel City: Atlantic Beach State: FI. dip: 32233
License Holder. N 111�1 "igh State Certification/Registration p:
Notarized Signature of License Holder
r
The foregoing instrument was acknowledged bef a me - 0� t e tat f orida,County o
Notary Public
rap�fi: BARBARA K,KENNELLY
( t MYCOMMISSIONN GG g1�Erpally Known ORl I Produced Identification
E%PIRES:March f],Za4�seo eantifiatlon:
�� lr � 9oMq lNU Nealy Pub4G 11ntlerxn4rf
Cash Register Receipt Receipt Numbe
19 City of Atlantic Beach R8909
DESCRIPTION ACCOUNT • 1
PermitTRAK $64.00
ERES19-0130 Address:3933RD ST APN: 1698250010 $64.00
ELECTRICAL $60.00
ELECTRICAL BASE FEE 1 455-0000-322-1000 1 0 1 $55.00
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
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 / 1 • $64.00
Date Paid: Wednesday, May 01, 2019
Paid By: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Cashier: CB
Pay Method:CREDIT CARD 6
Printed:Wednesday,May 03,2019 1:44 PM 10f 1 It