1801 Selva Marina Dr ERES20-0006 Media Panel -,rs'=''!r7.,,, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
y.. CITY OF ATLANTIC BEACH ERES20-0006
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ISSUED: 1/21/2020
�\ 800 SEMINOLE ROAD
`'-"°'31`9', ATLANTIC BEACH. FL 32233 EXPIRES: 7/19/2020
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: I VALUE OF WORK:
1801 SELVA MARINA DR ELECTRICAL RESIDENTIAL MEDIA PANEL $2450.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
172020 0706 SELVA MARINA UNIT 10
COMPANY: ADDRESS: i CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL 42 WEST 8TH ST ATLANTIC BEACH FL 32233
CONTRACTING, INC.
OWNER: ADDRESS: CITY: STATE: I ZIP:
JENNIFER & CURTIS HILL 10 10TH ST 38 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
i ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
i STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 1/21/2020 1 of 2
�s'`'`'"'. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
1
J '41" ERES20-0006
..
CITY OF ATLANTIC BEACH
-� ISSUED:SEMINOLE ROAD 1/21/2020
`'';}�` ATLANTIC BEACH. FL 32233 EXPIRES: 7/19/2020 I
Issued Date: 1/21/2020 2 of 2
txvip,„, Electrical Permit Application -ALL HIGHLIGHTED INFORMATION
' . k City of Atlantic Beach Building Department GRAY IS REQUIRED.rrli.m �' 800 Seminole Rd, Atlantic Beach, FL 32233 — (�ESZO _000(�
'rt'�='z`'` Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 1801 Salve Marina Drive . PROJECT VALUE$S 2,450.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS 1 PHASE
ElNEW SERVICE: 0 Overhead ❑Underground ❑Underground up Pole
Qtesidential(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 amps #of Meters
OCommercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps Q amps OCT Service amps
Conductor Type Size
EIMulti-Family(Main)Service:
l-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE:❑ amps DCT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 1:1150amps 0200amps 0 amps ❑CT Service amps
❑ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30a mps 31-100amps 101-200a m ps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
El OTHER ELECTRICAL PROJECTS:
E wimming Pool❑Sign ❑smoke Detectors (Qty) ❑Transformers KVA OMotors HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
❑ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can OSafety Inspection lJanel Change ❑OH to UG
✓other:install a media panel with a 12 port CAT 6 patch panel and 14 port COAX splitter installed 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.
Owner Name: Curtis Hill Phone Number: S-1 4`�
Electrical Company: Umbaugh Electrical Contracting,Inc. Office Phone: -2(-1-1 "tL151, Fax: ]'�•�s�
Co.Address: 42 West 8th Street L,,,,JI_ City:Atlantic State: Fl. Zip:,% �Z`' ..
License Holder: • `'IIIRhJW1 ' . State Certi ' i R i
3a0
Notarized Signature of License Holder +fU1r il,' •..i� 0 . 2296"
The foregoing instrument was acknowledged befo a me his iLt-- --C f.�2C pthe Stat of Florida,, County of .J-tam
_ ignatur- Notary Public ()cl,ti..3 . 1C--r—a1`-r.tki
•;;% BARBARA K.KENNELLY
t',., '" MYcouMISSION pGG0782M Personally Known ORI ]Produced Identification
}4: �,..1 EXPIRES:March 17,2021 y�ype of Identification:
«'S:rf BordeO itw NotuY Ribrc tt+�dsnarWrn