2028 Beach Ave ERES19-0327 tesla outlet permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0327
ISSUED: 11/8/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 5/6/2020
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, 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:--- PERMITTYPE: I a VALUE OF WORK:
2028 BEACH AVE ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $1000.00
phase - add outlet for tesla
TYPE OF
• • GROUP:
169701 0100 NORTH ATLANTIC BCH
UNIT 3
• ADDRESS:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
• ADDRESS:
RAPP MATTHEW H 1031 FIRST ST S #1001 JACKSONVILLE FL 32250
BEACH
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 • .
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 SWITCH AND RECEPTACLE OUTLETS 4SS-0000-322-1000 0 $4.00
ELECTRICAL BASE EEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
Issued Date: 11/8/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
J
w=; CITY OF ATLANTIC BEACH ERES19-0327
< < ISSUED: 11/8/2019
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233 EXPIRES: 5/6/2020
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$63.00
Issued Date: 11/8/2019 2 of 2
Electrical Permit Application **ALL INFORMATION
�s e, HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 P U 1
Phone: (904) 247-5826 Email: Building;-Dept@coab,us PERMIT#:
JOB ADDRESS: 2028 Beach Avenue PROJECT VALUE $$ 1,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: ❑Overhead ❑Underground ❑Underground up Pole
pResidential (Main)Service:
❑0-100 amps [3101-150amps [3151-200amps ❑ amps #of Meters
❑Commercial (Main)Service:
❑0-100 amps [3101-150amps 11151-200amps ❑ amps []CT Service amps
Conductor Type Size
E3Multi-Family(Main)Service:
❑0-100 amps E3101-150amps [1151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
[]100amps ❑150amps ❑200amps ❑ amps OCTService 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 ❑Panel Change ❑OH to UG
ElDther:Add 220 outlet for Tesla car charger 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. �JV� C) '
Owner Name: Matt Rapp Phone Number:�� 1
Electrical Company: Limbaugh Electrical Contracting, Inc. Office Phone: G�� Fax:
Co.Address: 42 West 8th Street City: Atlantic Beach State: rl Zip: !SZ S
IS
License Holder: Alex S. Limbau h State Certification/
i tr I%Qj(01 0 2.42 911 AW
Notarized Signature of License Holder
Th .icii before me thi UY 20Aq in the Stat Florida,County
BARBARA K.KENNELLY .
MY 078254 nature of Notary Public
�oF
EXPIRES:March 17,2021
,•��•OFP"�pBonded ThN Notary Public Underwriters Personally Known OR [ ] Produced Identification
pe of Identification: