2325 Seminole Rd elec safety 2014 t!.rL�.l;rjv�
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 14-00000910 Date 6/05/14
Property Address . . . . . . 2325 SEMINOLE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . RES GEN MF DISTRICT
Application valuation . . . . 0
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Application desc
SAFETY (FIRE DAMAGE)
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Owner Contractor
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TANNER, MARCIA JEAN SCHUMAN ELECTRIC INC.
2325 SEMINOLE ROAD
ATLANTIC BEACH FL 32233 PO BOX 48171
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 . . 12/02/14
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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
2 _ Ph (904) 247-5826 Fax (904) 247-5845
TOB ADDRESS: 'J o�Z St,M t C t._� — PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS Z'fO VOLTS PHASE
VAL UE OF WORK S *;oy- "
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps amps #of Meters
---,Commercial(Main) Service
❑0-100 amps C'101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
Multi-Family(Main) Service
❑0-100 amps [1101-1 50amps ❑151-200amps ❑ amps # of Unit Meters
'--Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT 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: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign El Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS l
Replace Burnt/Damaged Meter Can Safety Inspection ❑Panel Change ❑OH to UG
Other:
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. sin
Property Owners Name Kj sin In 0 Phone Number
Electrical Company S .A-L&v L-Fr C►K-t C_ -C—Office Phone -7 32 ''JQYO Fax 616 _tf/D y
Co. Address: 3 G(120 S, a,, C_ � - City G State P-Zip .57-7-0
License Holder (Print)- State Certification/Registration q-7
Notarized Signature of License Holder
HOLLY MARIE WALD
orn an subscri ed before me this day of �l) - 20 It
'i MY COMMISSION#EE853737 "
j
EXPIRES November 25,zol$i nature of Notary Public ,JN��& -0 C.� 1la"
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