53 & 55 Lewis St temp pole and new service CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000712 Date 7/23/12
Property Address . . . . . . 53 LEWIS ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . TO 13E UPDATED
Application valuation . . . . 75000
-----------------------------------------------------------------------------
Application desc
new home
--------------------------------------- -------------------------------------
Owner Contractor
------------------------ ------------------------
PROGRESS HOME BUYERS SHAYCORE ENTERPRISES INC
2304 ALDERMAN OAKS DR 101G9 GENI HILL CIR
JACKSONVILLE FL 322241170 JACKSONVILLE FL 32225
--- Structure Information 000 000 SINGLE FAMILY HOME
Construction Type . . . . . TYPE 5)-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE '41,
-----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . -
Sub Contractor . . SCHUMAN ELECTRIC INC.
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/19/13
-----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 ITATIONA1 ELECTRIC CODE
FOR AN APPROVED FINAL MECHANICAL AIC INSPECTION, A STICKER
SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE
BEEN SEALED, A CERTIFICATION SHAL1 BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SY1$TEM PASSED THE "AIR BLAST
r
INSPECTION" FROM AND INDEPENDENT ..'ESTING AGENCY.
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/'sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleELnouts and valve covers
are set to grade and visible.
A sewer cleanout must be installed at the property line.
PERMIT ISCAI'94&-Wl*tONRUfNtA&@RARYt-WA A�tC411a& ML3ANfiPWX&P&Dy19ACWAtA THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
............ . ATLANTIC BEACH, FL 32233
...............
A"
oo�o INSPECTION PHONE LINE 247-5814
Page 2
Application Number . . . . . 12- DO000712 Date 7/23/12
--------------------------------------- -------------------------------------
Special Notes and Comments
metal lid. Cleanout to be set to grade and visible .
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Bawkflow preventer must be
tested by a certified tester and i copy of the results sent
to Public Utilities .
All but Construction Site Management Plan still required.
Recommend builder meet with Public works Director.
If on-site storage is required, a post construction
topographic survey documenting proper construction will be
required.
All concrete driveway aprons must be 5" thick, 4000 psi,
with fibermesh from edge of pavement to the property line.
Reinforcing rods or mesh are not allowed in the
right-of-way.
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-of-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management)
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection prior to start of
construction.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERM ITAPPLICATION
CITY OF ATLANTI( BEACH
800 Seminole R(LAllantic lelch, 1.1
P` ('X)4) 247-�;826 l'aX VO4) 247-584S
ADDRESS: 53-- Lewi�!, k(-,6- PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS S6 AMPS �A 0 VOLTS PHASE
VALUE OF W01 W$
NEW SVVICE 0 Overhead 1�rUnderground D Underground up Pole
4lesidential(Main) Service
0-100 arn ps v1161-150arrips .1 51-200arnps �f' of'Meters
Commercial(Main) Service
0-100 amps 10 1-1 50anips 151-200amps ---amps CTServ1cc ---- --anips
ConductorType___– size
Multi-Family(Main) Service
0-100 arn ps 101-1 50amps 151-200amps .,--amps 4 of Unit Meters
femporary Pole _)_amps
SERVICE UPGRADE amps CT Sery cc
amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150arrips � 1200amps 'I !__amps ICT Service__amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: --0-30amps 3 1-1 00arnps —10 1-200amps
Appi iances: —0-30amps 3 1-1 00amps ---1 0 1-200amps
A/C Circuits: --0-60amps 61-1 00amps
Heat Circuits-. # circuits @ kw
Number of Ligliting Clut—lets, Including Fixtu'res:
OTHER ELECTRICAL PROJECTS
�,-i SwIrm-ning Pool !- Sign � �Smoke Detectors Qty Transffirmers—KVA 'Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm C1 ecklist)
Qty_ volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
:Replace Burnt/Darna0ed Meter Can ]Safety Inspection Panel Change 011 to UG
Cither:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby cenify that I have
re�id this application and know the same to be true and correct. All provisions oflaws anh ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions ofany othei state or local law regulation construction or the performance of'
construction.
11'ropertv Owners Name LeA- 7D 1 11 a rd— Phone Number
Electrical Company LA rl 4L'l A—Y
;k= —Olt-icePlione2.:377Uoqi5—Fa-,\ S(?1ff-W,0q
Co. Address:G& T
6.1, I ip aaq-67
City StateFL Z I
V -qse Holder (Print): State Certification/Registration 4&'T*-j2�&jqq
MICHELLE YQ1 INC
Oc�
Autafi.A%1ffi%Ua0wrmWfR1*Ase Holder
STATE OF FLORIDA
-7,Comm#EE018692 Sworn and subscribed beforL� rr]Lt� 's day --jL4 20
Expires 8/18/2014 Signature of Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
!tit
Application Number . . . . . 12- )0000713 Date 7/23/12
Property Address . . . . . . 55 LEWIS ST
Application type description SINGLE FAMILY RESIDENCE
Property Zoning . . . . . . . TO 13E UPDATED
Application valuation . . . . 75000
--------------------------------------- -------------------------------------
Application desc
new home
--------------------------------------- -------------------------------------
Owner Contractor
------------------------ ------------------------
PROGRESS HOME BUYERS SHAYCORE ENTERPRISES INC
2304 ALDERMAN OAKS DR 10169 GENI HILL CIR
JACKSONVILLE FL 322241170 JACKSONVILLE FL 32225
--- Structure Information 000 000 SINTLE FAM HOUSE
Construction Type . . . . . TYPE I-B
Occupancy Type . . . . . . RESIDENTIAL
Flood Zone . . . . . . . . ZONE all"
-----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Sub Contractor . . SCHUMAN ELECTRIC INC.
Permit Fee . . . . 115 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/19/13
-----------------------------------------------------------------------------
Special Notes and Comments
2010 FLORIDA BUILDING CODE, 2008 ITATIONAl ELECTRIC CODE
FOR AN APPROVED FINAL MECHANICAL AIC INSPECTION, A STICKER
SHALL BE INSTALLED ON THE AHU TO VERIFY THAT DUCTS HAVE
BEEN SEALED, A CERTIFICATION SHALL BE ON SIGHT FOR THE
INSPECTOR STATING THAT THE A/C SYSTEM PASSED THE "AIR BLAST
INSPECTION" FROM AND INDEPENDENT TESTING AGENCY.
*SUBMIT "CERTIFICATE OF COMPLIANCE" BY A LICENSED PEST
CONTROL COMPANY PRIOR TO C.O.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIREB
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
Avoid damage to underground water/'sewer utilities . Verify
vertical and horizontal location of utilities . Hand dig if
necessary. If field coordination is needed, call 247-5834 .
Ensure all meter boxes, sewer cleanouts and valve covers
are set to grade and visible .
A sewer cleanout must be installed at the property line.
PERMIT ISCaW=1J1'bNWflktAdMRA%-V9 4" XftithTIF� J-f0ANfi@WX&9#R"CK " THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE Rdkl)
ATLANTIC BEACH,FL 32233
0
...........................
INSPECTION PHONE LINE 247-5814
r
Page 2
Application Number . . . . . 12-00000713 Date 7/23/12
----------------------------------------------------------------------------
Special Notes and Comments
metal lid. Cleanout to be set to grade and visible.
A reduced pressure zone backflow preventer must be
installed if irrigation will be provided or if there is a
private well on the property. Backflow perventer must be
tested by a certified tester and a copy of the results sent
to Public Utilities .
If on-site storage is required, a post construction
topographic survey documenting proper construction will be
required.
All driveway aprons must be 5" thick, 4000 psi, with
fibermesh from the edge of pavemeft to property line.
Reinforcing rods or mesh are not allowed in the
right-of-way.
Full right-of-way restoration, including sod, is required.
Roll off container company must be on City approved list
and container cannot be placed on City right-oif-way.
(Approved: Advanced Disposal, Realco, Shappelle ' s and Waste
Management)
Full erosion control measures must be installed and
approved prior to beginning any earth disturbing
activities . Contact Public Works (247-5834) for Erosion
and Sediment Control Inspection p3lor to start of
construction.
---------------------------------------- ------------------------------------
Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---- ------ ---------- ----------
Permit Fee Total 115 . 00 115 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 119 . 00 119 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF �TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
Crry OF ATLANTI BEACH
800 Seminole Rd. Atlantic llc�lch� FI
Ph (904) 247-5820 1`ax 1904) 247-�7,845
ADDRESS: PERM]T#
r9l L
.IEA INFORMATION REQUIRED ON ALL PERMITS AMPS A-7 0 VOLTS PHASE
VALUE OF Wm M S
NEW SF
,RVICE 0 Overhead Ee"underground DUnderground up Pole
IlResidential (Main) Service
0-100 amps vl'1�1-150anips 151-200airips fl of Meters
Commercial(Main) Service
� 0-100anips 10 1-1 50anips 151-200anips ---amps CT Service anips
Conductor Type size
'Multi-Family(Main) Service
1 1101-1 50anips 151-200amps amps of Unit Meters
i 0-100arnps
Temporary Pole l� !__amps
SERVICE UPGRADE amps CTSery cc ---amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps I 50arnps 200amps amps CTService amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _0-30amps —3 1-1 00amps —10 1-200arnps
Appliances.- _0_30amps _3 1-1 00arnps ___I 0 1-200amps
A/C Circuits: —0-60arrips 61-1 00anips
Heat Circuits: — # circuits @ kw
Number of Ligliting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:' '[Swimming Pool i ! Sign [_�Smoke Detectors_Qty Transl6rmers— KVA Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty__volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can iSafety Inspection -J"anel Cliange �OH to UG
�Cither:
1'ermit becomes void if work does not commence within a six month period or work is st spcnded 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 anj ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any othc state or local law regulation construction or the performance of'
construction.
Property Owners Narne Phone Number
__ t
Electrical Corripany7;5c V,wyon 4-ra-, Office Phone _737-QdV6 Fax_,3q&4116y
Co. Address:43V06 I�U_ Tj city
7&&yl v State jQ_ Zip��2_2_67
1 * -9se Holder (Print): 5_6�.X State Certification/Registration
A uta
7,r OWNW)WZer
W)TARY PUBLIC
Swo
STATE OF FLORf DA Sworn subscribed before n-e this clay of TU7 20 12
ub.cribed before n
CommiN EE0i8%2
E E
xpires 8/18/2014 Signature ot'Notary Public
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00000928 Date 7/23/12
Property Address . . . . . . 53 LEWIS ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
-----------------------------------------------------------------------------
Application desc
temp pole
---------------------------------------- ------------------------------------
Owner Contractor
------------------------ ------------------------
PROGRESS HOME BUYERS SCHUMAN ELECTRIC INC.
2304 ALDERMAN OAKS DR
JACKSONVILLE FL 322241170 PO BOX 48171
JACKSONVILLE FL 32247
(904) 737-4040
---------------------------------------- ------------------------------------
Permit . . . . . . ELECTRICAL PEENIT
Additional desc . . TEMP POLE 60 AMPS
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/19/13
---------------------------------------- ------------------------------------
r
Other Fees . . . . . . . . . STAIE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
---------------------------------------- ------------------------------------
Fee summary Charged Raid 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 PERM ITAPPLICATION
CITY OF ATLANTIC BEACH
800 SC111111ole Pd. Allmilic lc�lch- F[- "22113
20 (904) 247-�,84�
Ph (904) )47-58
ADDRESS: Le 11
PERMIT 2a
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS l2-L1JVOLTS PHASE
VALUE0FW0RK$ V�0—
NEW SERVICE El Overhead E;i'Underground D Underground up Pole
Residential(Main) Service
0-100amps 101-150arrips 151-200airips flof Meters
Commercial(Main) Service
: 0-100arnps 101-150anips 151-200anips ------amps Cl' Service �Inips
Conductor'Fype_— Size
'Multi-Family(Main) Service
1 0-100 amps 101-150anips I 51-200anips ----arnps 4 of Unit Meters
v1f,emporary Pole (pC) amps
SERVICE UPGRADE � --amps CT Service__ amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
�-:100 amps . :150arnps I 200amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switclies: _0-30arnps —3 1-1 00amps ---]0 1-200amps
Appliances-. —0-30arnps _3 1-1 00amps —101-200amps
A/C Circuits: —0-60amps 61-1 00artips
Fleat Circuits: 4 c Ircults kw
Number of LightinjOutlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimm ing Poo I Sign Smoke Detectors_Qty Transfimners----KVA 'Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans& Fire Alarm Checklist)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I Replace Burnt/Damaged Meter Can Safety Inspection Panel Cliange OH to UG
�Otlier:
Permit becomes void if work does not commence within a six month period or work is su;pended 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 oflaws and ordinances governing this work will be complied with whcther
specified or not. The permit does not give MlthOritV to violate the provisions of any other state or local law regulation construction orthe performance of-
construction.
Property Owners Narne Phone Number
Electrical Company —off-ice Phone —Fax
Co. Address:3(r("o U I k
ht��d, City
5�.- Cj ;66nb;) 6 StateC,- Zip
I ' -nse Holder(Print): /oll lei State Certification/Registration 4f-�!
A utarized Si"eAKfL0-�&*AK6&1der Al
NOTARY PUBLIC wo b7 i bed h
rn
STATE OF FLORIDA Sworn subscribed before rn t is clay of 64
20
Comm#EE01W92
Expires 8/18/2014 Signature of Notary Public