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
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Application desc
TEMP POLE 60AMP 240 VOLTS 1 PHASE
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Owner Contractor
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331 AHERN LLC SCHUMAN ELECTRIC INC.
2406 UNIVERSITY BLVD W
JACKSONVILLE FL 32217 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 . . 12/09/14
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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
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