451 SARGO RD - ELECTRIC , °.'S, CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
iiii
.5 X ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1941
Job Type: ELECTRIC ONLY
Description: NEW ELEC SERVICE 150 AMP RECP AND SWITCHES
Estimated Value:
Issue Date: 8/14/2015
Expiration Date: 2/10/2016
PROPERTY ADDRESS:
Address: 451 SARGO RD
RE Number: 171500-0000
PROPERTY OWNER:
Name: NACCA ET AL, RICK V
Address: 456 SKATE RD
GENERAL CONTRACTOR INFORMATION:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 QA JOHN JASPER SCHUMAN
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $60.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE: WI II ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
LI Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: 5 I 5Cr )a P-100iiA PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS )50 AMPS 9tio VOLTS I PHASE
VALUE OF WORK$ /000 .00
NEW SERVICE ❑ Overhead ❑ Underground n5 Underground up Pole
Residential(Main)Service
00-100 amps ❑101-150amps )(151-200amps amps #of Meters
❑Commercial(Main)Service
00-100 amps C 101-150amps ❑151-200amps O amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps O 151-200amps O amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE O amps O CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
O 100 amps O 150amps 0200amps O amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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 O Sign ❑Smoke Detectors Qty ❑Transformers KVA O Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection I Panel Change OH to UG
20
'A• her: ( en Or+k-r . . . +0 i • L C. 11* 0 t 9, w k-r-c-L4—c-3 -
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 PV,V N UCCA Phone Number ) ^ 03'6--
Electrical Company 514)d man E1 Pr fri c. , rm.. Office Phone "737`'/oV6 Fax SCl4-L I Q
Co.Address: 3'&O US1-i rlL Read City a 4.16rWille State a Zip �7
License Holder(Print): ,/I _• IIO_/ Ar State Certification/Registration# a- 13414)94)
Notarized Signature of License Holder
I Q "•'k; HOLLY MARIE WALDEN worn and s, •scribed before me thi day of Ai 10)1' 2( 0 7
)
: . MY COMMISSION#EE853737
�''o ' EXPIRES November 25,2016 fSinature of Notary Public
V307)3 b-at(i/ Fanaallotalyservice.com