880 Beach Ave ERES20-0129 3 Fan OutletsOWNER:ADDRESS:CITY:STATE:ZIP:
HINES ROBERT D 880 BEACH AVE ATLANTIC BEACH FL 32233-5416
COMPANY:ADDRESS:CITY:STATE:ZIP:
LIMBAUGH ELECTRICAL
CONTRACTING, INC.42 WEST 8TH ST ATLANTIC BEACH FL 32233
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
170320 0000 CLUB MANOR
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
880 BEACH AVE ELECTRICAL RESIDENTIAL 3 ELECTRIC FAN OUTLETS $300.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 3 $1.80
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: $60.80
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
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.
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.
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.
1 of 2Issued Date: 6/11/2020
PERMIT NUMBER
ERES20-0129
ISSUED: 6/11/2020
EXPIRES: 12/8/2020
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 6/11/2020
PERMIT NUMBER
ERES20-0129
ISSUED: 6/11/2020
EXPIRES: 12/8/2020
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
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Electrical Permit Application
City of Atlantic Beach Building Department
800 Seminole Rd, Atlantic Beach, FL 32233
**AU INFORMATION
HIGHLIGHTED IN
GRAY IS REQUIRED.
., Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#: ______ _
JOB ADDRESS: 880 Beach Avenue PROJECT VALUE $"'-$_3_00_.o_o _____ _
JEA INFORMATION REQUIRED ON ALL PERMITS: .c..20;.;..0_AMPS VOLTS _1 _ PHASE
0 NEW SERVICE: □ Overhead DUnderground □Underground up Pole
�esidential (Main) Service: □0-100 amps [Jl.01-lS0amps □1Sl-200amps□commercial (Main) Service:
D ___ amps # of Meters
□0-100 amps D101-lS0amps D1s1-2ooamps □� __ amps OCT Service ___ amps
Conductor Type ________ Size ______ _ □Multi-Family (Main) Service:
Ol-100 amps O101-lS0amps 01Sl-200amps ... □.._ ___ amps # of Unit Meters □ TEMPORARY POLE: ___ .amps□ SERVICE UPGRADE: □. ___ .amps ctr Service ___ amps
0 NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):0100 amps OlS0amps O200amps O ___ amps 0:T Service ___ amps □ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 3 0-30amps ___ 31-l00amps ___ 101-200amps
Appliances: ___ 0-30amps ___ 31-l00amps ___ 101-200amps
A/C Circuits: ___ 0-60amps ___ 61-l00amps
Heat Circuits: ___ # circuits @ ___ kw
Number of Lighting Outlets, Including Fixtures: _3 __ _□ OTHER ELECTRICAL PROJECTS:
Dswimming Pool □Sign Dsmoke Detectors ___ (Qty) Drransformers ____ KVA □Motors ___ HP □ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty ____ volts/amps ____ _□ REPAIRS/MISCELLANEOUS:□Replace Burnt/Damaged Meter Can □Safety Inspection O>anel Change OOH to UG
0Jther:Add three light and three switches. Move ceiling fan.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 �r not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performanc� ,an,1rue1,on. . r� r _ -? () Cr-1 Owner Name: Robert Hines Phone Number: ="<l ,..,.� ... '¥2,..__�.:::>�_"'--___ _
Electrical Company: Limbaugh Electrical Contracting. Inc. Office Phone: .2.Y: 1-qos Fax: _____ _
Co. Address: 42 West 8th Street
License Holder: Alex s. Limba
Notarized Signature of License Holder
City: AUantic Beach State:.!:!:.__ Zip: 32233
State CertificatiEGt�ti@OQ2 296
The foregoing instrument was acknowledged befor met is
.. •;",r.,�•., BARBARAK. KENNELLY Sig
{•f'"'3,.'t\ MY COMMISSION# GG 078254 \?J.�.iiJ EXPIRES: March 17, 2021 [ ••tt�'f,f,'.?:;,.•� Bonded Thru Notary Publlc Underwriteiiy
ture of Notary Public .....!..Ll..J.....i!....&�,<'..1..!,,,:'""-....C::::....'--�=3>.�t..<l...<!et:::l,..�--
ersonally Known OR [ ] Produced Identification
of Identification: ________________________ _
240
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $60.80
ERES20-0129 Address: 880 BEACH AVE APN: 170320 0000 $60.80
ELECTRICAL $56.80
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS, INCLUDING
FIXTURES 455-0000-322-1000 3 $1.80
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R12098 $60.80
Printed: Thursday, June 11, 2020 3:55 PM
Date Paid: Thursday, June 11, 2020
Paid By: LIMBAUGH ELECTRICAL CONTRACTING, INC.
Pay Method: CHECK 45612
1 of 1
Cashier: CT
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R12098