331 Ahern St 2014 temp pole CITY OF ATLANTIC BEACH
Ii1
J 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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 PO BOX 48171
JACKSONVILLE FL 32217 JACKSONVILLE FL 32247
(904) 737-4040
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 90 . 00 .
Issue Date . . . Valuation 0
Expiration Date 12/09/14
Other Fees .
STATE ELEC DCA SURCHARGE 2 . 0
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
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--------- ----------
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) 247-5`82-6 Fax (904) 247-5845
JOB ADDRESS: 1"'I �`�1"Q� _PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS - AMPS yO VOLTS PHASE
VALUE OF WORK$
NEW SERVICE I Overhead ❑ Underground ❑T Underground up Pole
Residential (Main) Service
�0-100 amps ❑101-150amps [I151-200amps El amps # of Meters
Commercial (Main) Service
❑0-100 amps ❑101-150amps [I151-200amps ❑ amps —Li 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 Ll Smoke Detectors_Qty ❑Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK$
Qty volts/amps
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can El Safety Inspection El 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 ��� � il(nP� Phone Number �J
ems-1.,. k ! - n(— Office Phone 2S2'_Gyp Fax I U I
Electrical Company A I YM
Co. Address:
P-0, X� y���� City State Zip_32 7
License Holder (Print): Y l State Certification/Registration#
N :► #� �l der
201
MY COMMISSION tt EE853737 wo and su scribed before met is day of
EXPIRES November 25,2016
,407i39"153 RcndshoorysWw"•c ^ tignature of Notary Public