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130 Seminole Rd 2014 Temp Pole CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD J v� ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 14-00000733 Date 5/07/14 Application Number . 130 SEMINOLE RD Property Address . . • . Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . 0 ---------------------------- Application desc temp pole ---------------------------- Contractor Owner --------- FANNIE MAE SCHUMAN ELECTRIC INC. ONE WEST BANK FSB PO BOX 48171 888 WALNUT ST E JACKSONVILLE FL 32247 PASADENA CA 91101 (904) 737-4040 ----- -----Permit • ELECTRICAL PERMIT Additional desc . plan Check Fee . 00 Permit Fee . . . . 90 . 00 0 Issue Date Valuation Expiration Date 11/03/14 2 . 00 Other Fees STATE ELEC DCA SURCHARGE • STATE ELEC DBPR SURCHARGE 2 . 00 ------------------------char_ ------------- ed ----- Fee summary g Paid Credited ------- . 00 . 00 Permit Fee Total 90 . 00 90 . 00 00 . 00 Plan Check Total • 00 4 . 00 4 . 00 . 00 . 00 Other Fee Total 00 . 00 Grand Total 94 . 00 94 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. MAY-07-2014(WED) 12:00 Schuman Electric, Inc. (FAX)9043964104 P. 001/001 ELI✓CTRICAL PERMIT APPLICATION G CITY OF ATLANTIC $I'.A CH � nn 800 Seminole Rd, Atlantic Beach,FL 32233 U Ph (904)y247-5826 Fax (904) 247-5845 JOB ADDRESS: 10 �cm 1 PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS � VOLTS _ PHASE VAL UE OF WORK.Sf O7ljj'r NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole dentia) (Main) Service ❑0-100 amps _ _ ❑151-200tunps I I amps # of Meters ❑Commercial (Main) Service 00-100 amps )_1101-1 SOamps ❑151-200amps ❑ amps FI CT Service amps Conductor Type Size ❑Multi-Family(Main) Service 40-100 amps ❑101-150amps 11151-200amps ❑ amps 11 of Unit Meters �-� i emporary Pole-❑amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,FTC.) ❑100 amps n 150amps LJ200amps n amps UCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUT'S,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: # circuits @ lcw Number of Lighting Outlets, including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool I_l Sign El Smoke Detectors_Qty OTr-ansformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps _ VALUE OF WORK S REPAIRS/MISCELLANEOUS ❑Replace Burnt/Dainaged Meter Can []Safety Inspection ❑Panel Change ❑OH to UG ❑Other: Pcrmit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months. T hereby certify that I have raid this application and know the some 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 s o 'ty folate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name �C Phone Number �pGr Electrical CompanyIc -F Office Phone �'Ly�-1a Fax Co. Address: + 1� [h0 !� City 1.1C�C � J'1� State Lip 226 License Holder (Print): _Qhrn_ lnn State Certification/Registration# f�U�ayN� Notarized Signature of License Holder- � 4 HOLLY NARIS WALDEN wort and subscribed before me tl • day of rfYA 4 20 �y 'T MY COMMISSION as EEN3737 EXPIRES Nowmber 25.2018 i�naturc of Notary Public