1565 Selva Marina Dr TEMP20-0007 -1'1.AN.%�kELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP20-0007
r ISSUED: 3/12/2020
�/l 800 SEMINOLE ROAD
��°ii"' ATLANTIC BEACH, FL 32233 EXPIRES: 9/8/2020
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: VALUE OF WORK:
1565 SELVA MARINA DR ELECTRICAL TEMP POLE TEMP POLE $4000.00
TYPE OF j REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
171945 0000 SELVA MARINA UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
LIMBAUGH ELECTRICAL
CONTRACTING, INC. 42 WEST 8TH ST ATLANTIC BEACH FL 32233
OWNER: ADDRESS: CITY: STATE: I ZIP:
BROOKS T DANIEL 12931 PLANTERS CREEK CIR S 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.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE 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:3/12/2020 1 of 2
s''''' '' ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER I
;-•‘4'''fir ii, TE M P20-0007
CITY OF ATLANTIC BEACH
5� v 800 SEMINOLE ROAD ISSUED: 3/12/2020
xcnt 9� ATLANTIC BEACH. FL 32233 EXPIRES: 9/8/2020I
Issued Date: 3/12/2020 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
JOB ADDRESS: 1565 Selva Marina Drive PROJECT VALUE $S 4,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: ;A', AMPS 44(u) VOLTS / PHASE
.':. NEW SERVICE: 0 Overhead irttierground OUnderground up Po(e
°Residential(Main)Service:
00-100 amps (3101-150amps 0151-200arnps 0 amps tt of Meters
DCommercial(Main)Service:
00-130 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
ONlulti-Family(Main)Service:
cp-iDo amps 0101-150amos 0151-200amps D . amps tr of Unit Meters
El TEMPORARY POLE: amps
I SERVICE UPGRADE: fl_ amps OCT Service amps
n NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
0100 amps 0150amps 020Camps 0 ___ amps (IT Service amps
Li ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200am ps
Appliances: 0-30amps 31-100amps -- 101-200amps
A/C Circuits: 0-60amps _____61-100amps
Heat Circuits: tr circuits @ kw
Number of Lighting Outlets, Including Fixtures:
1---I OTHER ELECTRICAL PROJECTS:
:Swimming Pool OSign arroke Detectors (Qty) DTransformers KVA OMotors HP
[Ii FIRE ALARM SYSTEM (Requires 3 sets of plans).
Qty volts/amps
REPAIRS/MISCELLANEOUS:
1 ' Can ' a 0
ki.pi,c., . . nt/Damaged Meter 0 a e Ipspection anel Change OH to UG i
kt
ther: 1.4 I, --• / -. . e , - _ _ir ( , ...
,rimit becomes void if work does nii co mence within a s:x month period or work is suspended or abandoned for six months. I hereby certify that I nave
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the perfoeivance of
construction. q ( 3- q—II.\-
Owner Name: Dan Brooks Phone Number. —
Electrical Company: Limbaugh Electrical Contracting,Inc. Office Phone. LA'e ata li C, 5 / Fax:
Co.Address: 42 West 8th Street City Atlantic Beach _ State -1. z 322:33
License Holder:
Alex_$ urn ibau•h A State Certifical,on/Ri.gistration P: Ci,1
1 1,1°ILI
Notarized Signature of Licence Holder
The f -,-• • • •' • ' - .efia ,me this I Oda - likC--k-e,--1, a 17-Zthe State of Florida,County of
__.. - —
.._ ..
' ,,,,,r1:11*;•,, BA.RBARA K KENNELLY
_Si: iture of Notary Public C-AA-,--G-k..c.-- (C • IG—A--r"--"---Li
II': itH". -, .; MY C.n444MISSON i GG OTtins-1 , --
lt-;-:•*;,
cftgr,....• u„,04 1.,,,I,4,4,try iv.),orriv.,mitie e'rcona I ly Known OR I I Produced Identification
. —„.....
---- --- of Icentification.
Electrical Permit Application ••ALL INFORMATION
City of Atlantic Beach Building Department
4Z..... HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 1----IYIP Z_CD - 0007
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT ft:
JOB ADDRESS: 1565 Selva Marina Drive PROJECT VALUE $S 4,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 100 AMPS 240 VOLTS 1 PHASE
1111 EW SERVICE: Overhead DUridt-n-if r2:)rd DUr;4.i :.s. ,•,j;;;::
GResidential (Main) rvice:
00-100 an-los (11.101-150amps 011-200amps0 , -,;mps ;-,'of i'..4,.:ters
0Commercial (Main) Service:
00-100 amps 0101-150arips 0151-200amps 0 amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service:
00-100 amps 0101-1S0amps 0151-200amps 0 amps U of Unit Meters
0 TEMPORARY POLE: 'DO amps
D SERVICE UPGRADE: 0 amps nu Service amps
I I NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
000 arr ps 0150amps 0200amps 0 amps Du Service amps
ED 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: U circuits @ kw
Number of Lighting Outlets, Including Fixtures:
0 OTHER ELECTRICAL PROJECTS:
['Swimming Pool EiSign amoke Detectors (Qty) DTransformers KVA ['Motors HP
E FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
ri REPAIRS/MISCELLANEOUS:
['Replace Burnt/Damaged Meter Can OSafety 19spectior OPanel Change [JOH to UG
00ther: tFo) Jo! 10'1718
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 perforRance of
construction. 13—. ql I Y
Owner Name: Dan Brooks Phone Number:
4 „_..:.
Electrical Company: Limbaugh Electrical Contracting,Inc. Office Phone- qq/14(f 10-7 Fax:
Co.Address: 42 West 8th Street City:Attartac Beach State' R. Zip , 2.2_-33
License Holder: AleX S. Limbaugh s\ tr
State Certification/Registration# ar*Lizzq 4;
Notarized Signature of License Holder U
-1-'ie fcrateklOrleggrIlrylrlreWITIMEMPAllefo m this 1 •0: - 'tekt9-7:$5in the State of Florida,County of-DAAJC.c.0 •
44:•',e;i'•• BARBARA K KENNEL.:-Y
p,iv comprissION I GO 078291gisture of Notary Public 0 0,-X---&(-PAL- IC • N'e t`--H-4-1
jIS t
ii,•_•: 411 WIRES 17 Poireil :
\ TN%Notwv Putlk j 021
Biodmororderi-r<sona I ly Known OR I I Produced Identification
,... . .... type of Identification: