452 Sargo Rd - Install Alumicon Connectors CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
J co ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -48
Job Type: ELECTRIC ONLY
Description: Install Alumicon connectors on all receptacles and switches
Estimated Value: $1,500.00
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 452 SARGO RD
RE Number: 171539 -0000
PROPERTY OWNER:
Name: WALLACE, TAMMI
Address: 452 SARGO RD
GENERAL CONTRACTOR INFORMATION:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 QA JOHN JASPER SCHUMAN
Phone: - -
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Jan, 7. 2016 12:12PM No. 3180 P. 1
ELECTRICAL PERMIT APPLICATION �� _ j
CITY OF ATLANTIC BEACH 1 - --- �j
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247 -5845
JOB ADDRESS: L i 5Q a I- C� PERMIT #
SEA INFORMATION REQUIRED ON ALL PERMITS „Q, 00 AMPS »4 0 VOLTS } PHASE
VALUE OF WORK$ ISO°' °
NEW SERVICE E4 Overhead ❑ Underground ❑T Underground up Pole
l Residential (Main) Service
00 -100 amps 0 101- 150amps fx151- 200amps D amps # of Meters
0 Commercial (Main) Service
00 -100 amps ❑ 101- 150amps 0151- 200amps 0 amps OCT Service amps
Conductor Type, Size
:Multi-Family (Main) Service
0 0 -100 amps 0101 -1 50amps Li 151- 200arnps fl amps # of Unit Meters
f Temporary Pole 0 amps
SERVICE UPGRADE u amps fl CT Service _ amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0 100 amps ❑ 150amps O200amps Cl 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
O Swimming Pool ❑ Sign 0 Smoke Detectors _Qty OTransformers KVA :Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS ' p laoe 2x i t
:Replace Burnt/Damaged Meter Can 0 Safety Inspection :Panel Change DOH to UG A ,
:Other: A I r i 1I o is ti I / _ _ J.. 1 a .+ • '- O. r •' . ' Y 1 ■ . _
Permit becomes void if work does not commence within a s month period or work is suspended or abandoned for s months. 1 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 f - 1 . t(. NO on Phone Number
Electrical Company 5Ght_il71Gn f lkciic. Office Phone = 7L2 Fax 3 y
Co. Address: po 86! L ! 7/ City jeyr _. State R., Zip a D.Li. - )
License Holder (Print): 61 U ..- State Certification/Registration # "'C ) 3OQr0n
lrfer
N to ,l a HOLLY MARIE YV 7 day of 20
" �� Sworn and subscribed before met 's .G n
" c M COM MISSION # EE8ti3737
T� EXPIRES November 25, 2016
S of Notary Public
(407;'3.-0,5.3 FonoeNOryryServ+cs.00m