Permit Elec Safety Insp 1814 Hickory Lane 2010 LAN .
4, CITY OF ATLANTIC BEACH
A � °. �" 800 SEMINOLE ROAD
r".* ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001409 Date 11/23/10
Property Address 1814 HICKORY LN
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
SAFETY INSPECTION
Owner Contractor
FASANELLI, FABIO SCHUMAN ELECTRIC INC.
CO SOUNDIVEW HOME LOAN TRUST
ATLANTIC BEACH FL 32233 PO BOX 48171
JACKSONVILLE FL 32247
(904) 737 -4040
Permit ELECTRICAL PERMIT
Additional desc . SAFETY INSPECTION
Permit Fee . . . 90.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/22/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 90.00 90.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 94.00 94.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
NOV- 23- 2010(TUE) 09:26 Schuman Electric. Inc. (FAX)9043964104 P.002/002
t.A.A.C'11.4.ICAL PERM!',' APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FI. 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
y _ s ADDRESS: 17 1 1 ` 11 `i !'1 i• k r y L n PERMIT # / - S/
NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole
f iResidential (Main) Service
1_.10 -100 amps 1:1101- 1.50amps 0 151- 200amps 0 amps # of Meters
LI Commercial (Main) Service
00 -100 amps 0101- 150amps 0151- 200amps fl amps DCT Service amps
Conductor Type Size
( (Main) Service
00 -100 amps 0101- 150amps 1 1151- 200amps 0 amps # of Unit Meters
DTcmporary Pole 0 amps
SERVICE UPGRADE ❑ amps ri CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps 0150amps 0200amps fJ amps DCT 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: !l circuits @ kw
Number of Lighting Outlets, including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool U Sign f_1 Smoke Detectors Qty ii Transformers KVA fl Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Safety Inspection OPanel Change 1110H to UG
Jther:
'ermit becomes void if work docs not eoutmence within a six month period or work is uspcndcd or abandoned tar six months. I hereby certify that I havc
.cod this applicanon and know thc same to he true and correct. All provisions oflaws and ordinances governing this work will bt complied with whether
tpccifted or rim. The permit does not give authority to violate thc provisions of any other state or local low regulation construction or the performance of
:onstructu,rt. I
Property Owners Name ektrtdd Ui ntTle (.6rkn f ru 3 Phone Number
Electrical Company ''_y qi1 e( <g- 1-1p t ikte . Oflicc Phone qaq- 77 7 - r /nt /.4Fax 9 1/ - 3ij /v //dl
Do. Address La17 v' City , n 4'60'I01c_ State CC. Zip 322
!' ^rise Holder (Print): { ll '1K S • . 0.1 4 , State Ccrtiiication /Registrational 3o12./C/7
!vtdarized Signature of License Holder
Swore d sub Bribed before me th's 23 a of 1 / /' L! !U
MICHELLE YOUNGBLrOO
NOTARY PUBUC 31 nature ofNotal . y
I ubli
STATE OF FLORIDA
;+ : Commis EE01e692
• Expires 8/18!2014
NOV-23-2010 (TUE) 09:25 Schuman Electric, Inc. (FAX)9043964104 P.��1/002
John Schuman - 904-838-6542
Schuman Fax - 904-396-4104
Main line — 904-7374040
El ectric Inc cellomatlelectric(fi'hormail.cnin
ER- 111112447
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FACSIMILE TRANSMITTAL SHEET
..... .......31...:I
TO FROM:
`11/-0 Yr le 4d/1/
COMPAr: DATE:
( 1 ci. cri 1.aa tt\it aTito
12E:
0 URGENT 0 FOR REVIEW C PLEASE COMMENT 0 PLEASE REPLY 0 PLEASE RECYCLE
...mg.._ ..1-. ...___...
NOTES/COMM ENTS:
(71,e03A- (Id 1 rCr rYllUri4-
1 Or6jrik 00,'"i.
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P0. BOX 48171 JACKSONVILLE, FL, 32247