Permit 970 Sailfish 2011 safety inspection ,7. 1 1 . ,
Jr,
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 11-00001692 Date 2/17/11
Property Address . . . . . . 970 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
safety inspection 200 amp 240 volt phase 1
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Owner Contractor
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CASIMIR, MELANIE SCHUMAN ELECTRIC INC.
970 SAILFISH DR.
ATLANTIC BEACH FL 32233 PO BOX 48171
(904) 859-3863 JACKSONVILLE FL 32247
(904) 737-4040
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/16/11
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, Fl, 32233
11h (904) 247-5826 Fax (904) 247-5845
-AADDRESS: �70 Z55%VFn�, '-Dr�Ve
PERMIT#
NEW SERVICE F�Overhead El Underground Underground up Pole
DResidential (Main) Service
[�0-100 amps 0101-150amps Ll I 51-200amps ]__amps 4 of Meters
BCommercial (Main) Service
[10-100 amps [110 1-1 50amps J 151-200amps U_amps EICT Service amps
Conductor Type Size
F-IMulti-Family (Main) Service
[10-100 amps 0101-150amps 0 151-200amps 1-1_amps 4 of Unit Meters
OTemporary Pole 11 amps
SERVICE UPGRADE []_amps 1-1 CT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps 11200amps 11 amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 101-200amps
Appliances: 0-30amps 3 1-I 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: 4 circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign D Smoke Detectors_Qty 0 Transformers KVA F]Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUEOFWORK$
REPAIRS/MISCELLANEOUS
LIReplace BurritiDamaged Meter Can F-4<afety Inspection 0 Panel Change 0 OH to UG
P -
0 0 P�D" JC 4j� C) V 0 -1-S t STI-w C-�' C-
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.
Property Owners NameVAV5 A 04W kSWt 5iratr-417 a4 id% 7FLtrj:� Phone Number
Electrical Cornpanyls(AmWW4 eleAnr_ Ilyle- , Office Phone 404-73j-qbq0 Fax 46W-34(04/1611
Co. Address: 3'Ruo 5� A City State 4--t— Zip Sa-2-0
I:--ase Hoider(Print): State Certification/Registration #0-=A- 1304�147
N.tarized Signature of License Holder
4 MICMLLE YOUNGSLOOD Swom;t-nd'subscribed before day P 20_1�_
NOTARY PUBLIC
STATE OF FLORIDA Signature of Notary Public
C"mn#EE01802
)- EXPIM 8/1&2014