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331 AHERN ST TEMP POLE CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 �NJ. 3: :�f' Application Number . . . . . 14-00000955 Date 6/12/14 Property Address . . . . . . 331 AHERN ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . RES GEN MF DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc TEMP POLE 60AMP 240 VOLTS 1 PHASE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ 331 AHERN LLC SCHUMAN ELECTRIC INC. 2406 UNIVERSITY BLVD W JACKSONVILLE FL 32217 PO BOX 48171 JACKSONVILLE FL 32247 (904) 737-4040 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/09/14 ---------------------------------------------------------------------------- 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. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph (904) 247-5826 Fax (904) 247-5845 .TOB ADDRESS: 3 .'G �� ��P_1" PERMIT # JEA INFORMATION REQUIRED ON ALL PERMITS _�0 AMPS 2 YD VOLTS PHASE VALUE OF WORK$ NEW SERVICE [y Overhead ❑ Underground ❑1 Underground up Pole ❑Residential (Main) Service f_10-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters ❑Commercial (Main) Service 110-100 amps 11101-1 50amps ❑151-200amps ❑ amps [I CT Service amps Conductor Type Size ❑Multi-Family(Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters Temporary Pole ❑ ramps 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 ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS El Replace Burnt/Damaged Meter Can []Safety Inspection L1 Panel Change 11 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. Property Owners Name , )n C K S60Q l ) )� +-�'� _ Phone Number Electrical Company l� YYL�I'� ���C�t'!G , :TY1C Office Phone _7S -4100J Fax 46 , Co. Address: City JQ CiSOMWL State Zip �7 License Holder(Print): State Certification/Registration# I `1 NP A ; ff 69der i MY CC+MMtSS10N#EE853737 WO and S11 scribed before met is day of 20� EXPIRES November 25,2016 (407)3e-0153 PWWfi 0WyS«wc*'CW ignature of Notary Public QIW4 M94 1,0 0104X