411 Skate Rd ERES19-0338 Panel Change `1"- ,,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
Po A CITY OF ATLANTIC BEACH ERES19-0338
`� ' ' ISSUED: 11/25/2019
i� M 800 SEMINOLE ROAD EXPIRES: 5/23/2020
ATLANTIC BEACH. FL 32233
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
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: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
411 SKATE RD ELECTRICAL RESIDENTIAL PANEL CHANGE $1500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171529 0000 ROYAL PALMS UNIT
02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
ROBERTS CARSON 411 SKATE ATLANTIC BEACH FL 32233
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 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
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 11/25/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0338
ISSUED: 11/25/2019
800 SEMINOLE ROAD
`j ATLANTIC BEACH. FL 32233 EXPIRES: 5/23/2020
Issued Date: 11/25/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
'r Pr:-1 PP Z HIGHLIGHTED IN
.f( City of Atlantic Beach Building Department GRAY IS REQUIRED.
\. :law�/
800 Seminole Rd, Atlantic Beach, FL 32233 .F RE71 �9-,c):3--.8
�_O 35g
,`F Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 411 Skate Road PROJECT VALUE $ ( CO
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
❑ NEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
CJFtesidential(Main)Service:
00-100 amps C1101-150amps 1:1151-200amps 0 amps #of Meters
❑Commercial (Main)Service:
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
I:Multi-Family(Main)Service:
DO-100 amps 0101-150amps [1151-200amps ❑ amps #of Unit Meters
E TEMPORARY POLE: amps
0 SERVICE UPGRADE: ❑ amps [ICT Service amps
❑ NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 0200amps ❑ amps OCT 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 Panel Change DOH to UG
:Other: 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 performancJJJlf
Construction. .-5S- 1G! I
Owner Name: Carson Roberts Phone Number: f� rH�LrJ, !1
Electrical Company: Limbaugh Electrical Contracting,Inc. Office Phone: `-I' j g�} , Fax: ��
Co.Address: 42 West 8th Street City: Atlantic Beach State: Fl. Zip:
JLC- —)
License Holder: Alex S. Limbauah 1, \ State Certificatiq+fRCrri
Ir [v_
Notarized Signature of License Holder ; Cfl4 7• �-, / raj
The foregoing instrument was acknowledjed before e this d. . twr 20 l lin th State of Florid),[ County of J
?q;*l:t+i:r, BARBARA K.KENNELLY natur Notary Public I�IJC[h j�. \.�-a�- �-)
• ,i• 5 MY COMMISSION#GG 078254
%�4o EXPIRES:March 17,2021 Personally Known OR[ ]Produced Identification
''4Fod;�;P• Bonded Thru Notary Pcblic Undetwr.tars pe of Identification: