1565 Selva Marina Dr ERES19-0152 Add Outlets, Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERES19-0152
CITY OF ATLANTIC BEACH ISSUED: 5/23/2019
800 SEMINOLE ROAD
EXPIRES: 11/19/2019
n nr ATLANTIC BEACH.FL 32233
MUST CALL INSPECTION PHONE LINE (904) 247-5814 Y 4 PM FOR NEXT DAY INSPECTION.
• , CONFORM • EDITION 1 OF • ' 1 ' BUILDING
ALL
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.
200 amps/240 volts/first $1500.00
1565 SELVA MARINA DR ELECTRICAL RESIDENTIAL phase -add outlets, fixtures
TYPE OF •ING USE SUBDIVISION:
ZONING: GROUP:
CONSTRUCTION: NUMBER:
171945 0000 SELVA MARINA UNIT 02
• . r1 •
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
OWNER: ADDRESS:
BROOKS T DANIEL 12931 PLANTERS CREEK CIR 5 JACKSONVILLE FL 32224
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 ......AMOUNT
ELEC LIGHTING OUTLETS INCLUDING FIXTURES 455-00.0" d22-1000 20 $1200
455-0000-322-1000 0 55.00
ELEC SWITCH AND RECEPTACLE OUTLETS $55.00
ELECTRICAL BASE FEE 455-0000-3223000 0
455-0 208-0700 0 5200
STATE DBPR SURCHARGE $2W
STATE OCA SURCHARGE 455-10OO2O0O600 0
Issued Date:5/23/2019 1 oft
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
ERE519-0152
CITY OF ATLANTIC BEACH ISSUED: 5/23/2019 '
8005EMINOLE ROAD
EXPIRES: 11/19/2019
ATLANTI
TOTAL:$80.60
C BEACH.FL 32233
Issued Date:5/23/2019 2 of 2
Electrical Permit Application **ALL INFORMATION
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#:6R/�EsIq—olSd
JOB ADDRESS: 1565 Selva Marina Drive PROJECT
rrU
VALUE $ r� J V
JEA INFORMATION REQUIRED ON ALL PERMITSAMPS�JTCVOLTS I PHASE
❑NEW SERVICE: 00verhead ClUnderi round Dunderground up Pole
piesidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 13 _amps Jt of Meters_
DCommercial(Main)Service:
D0-100 amps 0101-150amps 0151-200amps [,_amps M Service amps
Conductor Type Size
CiMulti-Famfly(Main)Service:
DD-100 amps 0101-150amps 0151-200amps D amps #of Unit Meters
[:]TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑_amps ❑C7 Service_amps
❑NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
❑100amps 0150amps 0200amps 0—amps QTService_amps
❑ ADDITIONS,REMODEIrS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches:_14g_0-30amps 31-300amps _101-200amps
Appliances: 0-30amps 31-300amps _101-200amps
A/C Circuits: 0-6Oamps 61-100amps
Heat Circuits: N circuits @kw 10
Number of Lighting Outlets, Including Fixtures:
❑ OTHER ELECTRICAL PRO1S:
[]Swimming Pool[]Signmoke Detectors�(Qty) []Transformers KVA []Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
[[]]R�ep'ace B}yt��nt�/�Damage eter Can QSafety inspection OPanel Change ❑OH o UG updoed 10/17118
�5ther: L!%TAI .1=1 A {''ll 7"i(�D/dlt�/rY{`lL� /rYT!/Ctfro.p /��tt-�
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 pert ante of
[OnatfUe[IOn. Vo
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Owner Name:Dan Brooks Phone Number
Electrical Company: Limbaugh Electrical Conbecting,Inc. Office Phone: Fax:
Co.Address:
42 West 8th Street City Atlantic Beach State: FI Zip: 32233
License Holder: Alex S. Limbauah State Certification�iagijsytiyn
Notarized Sip -t� -7 � --� FL IV -I
The foregoing instrument was acknowledged bet a me this r--1 d '� 201 inee Stapf FFlorida,,C(ounity of
lealleetore of Notary Public�Cil� 1—. Mv'�4�1, -,
ff-. ::7
K.KENNELLY310NkGG078261] ly Known OR[ Produced Identification
:March 17,2021 Typ of Identification:
ry PLLYu Wtlexxi
S�i ijJ
J `
S� Cash Register
• • • Receipt
City of Atlantic Beach •
•
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DESCRIPTION • QTY PAID
PermitTRAK $55.00
ERES19-0152 Address: 1565 SELVA MARINA DR APN: 171945 0000 $55.00
ELECTRICAL FINAL" 11/27/2019 RBE $55.00
ELECTRICAL FINAL" 11/27/2019 RBE 455-0000-322-1002 0 $55.00
TOTALBY 11
Date Paid: Thursday, December 05, 2019
Paid By: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Cashier: CT
Pay Method: CREDIT CARD 9
Printed:Thursday, December 05, 2019 1:48 PM 1 of 1 j