Permit 1911 Mary StreetCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 10-00000781 Date 6/17/10
Property Address 1911 MARY ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation 0
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Application desc
SAFETY INSPECTION
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Owner
S.KASSEL CONSTRUCTION COMPANY
3820 WILLIAMSBURG PARK BLVD.
JACKSONVILLE FL 32257
Contractor
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SCHUMAN ELECTRIC INC.
PO BOX 48171
JACKSONVILLE FL 32247
(904) 737-4040
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Permit ELECTRICAL PERMIT
Additional desc SAFETY INSPECTION
Permit Fee 90.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 12/14/10
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 90.00 90.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
., _ s AnvRESS:~
r
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
PERMIT #
NEW SERVICE ^ Overhead
^ Residential (Main) Service
^ 0-100 amps ^ 101-150amps
^ Commercial (Main) Service
i~ 0-100 amps ^ 101-150amps
Conductor Type
OMulti-Family (Main) Service
^0-100 amps ^ 101-150amps
^Temporary Pole 0 amps
SERVICE UPGRADE ^
^ Underground ^ Underground up Pole
^ 151-200amps ^ amps
0151-200amps ^ amps
Size
^ 151-200amps ^ amps
amps ^ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
^ 100 amps ^ 150amps 0200amps ^ amps ^CT Service
# of Meters
^ CT Service amps
# of Unit Meters
amps
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
AIC 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
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WOR% $
REPAIRS/NIISCELLANEOUS
^Replace Burnt/Damaged Meter Can Safety Inspection ^Panel Change ^OH to UG
^ Other:
hp
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. 1 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. l /'y C
Property Owners Name ~~Q , ~ ~~ f ~ yQ-'\ Phone Number~l (~~ r~~O ' gJ'~' 'J
Electrical Company 1U1 R r1 ~ ~ Office PhoneQl~r7~~ ~U Fax q~ 34w `L/!U~
Co. Address: City~r~Y-Ui ~l[, .,,~tate~ Zip ~?IZ.?
v
I.°-,nse Holder (Print): ~~~ ~ n A~ ~~State Certitication/Registration #~Rt 1~(i124U7
11-~rarized Signature of License Holder
QI~Nt-Nlclaret-an
CAmmis:~on DD 786890
ExpireB AMdy 13, 2012
' p Oon01d Tlru Trq F1~n Imur~ncr 8U; ae:
Sworn an~scritSed before m~this -~- day of ~(J.,t~.Q 20 1~(
Signature of Notary Publ