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370 Sargo Rd - Elec Temp Pole NEW SERVICE (-- , Ai I- � \S � CITY OF ATLANTIC BEACH r t.. "� f 800 SEMINOLE ROAD . . _ 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 -261 Job Type: ELECTRIC ONLY Description: temp pole 60 amps Estimated Value: Issue Date: 2/4/2016 Expiration Date: 8/2/2016 PROPERTY ADDRESS: Address: 370 SARGO RD RE Number: 171689 -0000 PROPERTY OWNER: Name: MACDOUGALL, DAVID A Address: 370 SARGO RD GENERAL CONTRACTOR INFORMATION: Name: SCHUMAN ELECTRIC INC Address: PO BOX 48171 QA JOHN JASPER SCHUMAN Phone: - - FEES: Trade Permit Base Fee $55.00 Temporary Electrical Service $35.00 State Elec DCA Surcharge $2.00 State Elec DBPR Surcharge $2.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb. 3. 2016 1:51PM No. 3291 P. 1/1 C ELECTRICAL PERMIT APPLICATION V CITY OF ATLANTIC BEACH 15 , Re. a E 5-3 800 Seminole Rd, Atlantic Beach, FL 32233 �� Ph (904) 247 -5826 Fax (904) 247 -5845 ag e JOB ADDRESS: 0 0 r• • r - _ _ PERMIT # _ 1 5-s 1 JEA INFORMATION REQUIRED ON ALL PERMITS ) 50 AMPS / 1 b VOLTS PHASE VALUE OF WORK $ 1 * C)6 NEW SERVICE ❑ Overhead Underground 1 1J Underground up Pole ,Residential (Main' r -- 00- 100 amps 1 ► - 1. 1 va pS ❑ 151- 200arnps [] _amps # of Meters - ❑Commercial (Main) service 00 -100 amps n 101- 150amps 0151- 200amps 0 amps OCT Service _ amps Conductor Type Size ❑Multi - Family (Main) Service 00 -100 amps 0 101-150amps [1151- 200amps 0 _ amps # of Unit Meters Temporary Pole 0 (p 0 amps SERVICE 'UPGRADE ❑ amps L] CT Service amps /'l - NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) Q li. ❑ 100 amps [1 150amps [J200amps 0 amps OCT 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 [1 Sign 0 Smoke Detectors _Qty ❑ Transformers _ KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK $ Qty volts/amps REPAIRS/MISCELLANEOUS []Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change DOH to UO ❑ Other: Permit becomes void if work dots 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 ce of specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the pc construction. Property Owners Name Cl _ ' ' _ Phone Number C i4�' A S5 Electrical Company +1I c . a _ e iC. ' �d, c. Office Phone 13 L) // Fax g` (" * - ' ' I City c I CtC 1C �AJ'l f fr State P-- Zip 3 D� Co. Address: • rs License Holder (Print): oh �.,�UU. ' >. ' . _ State Certification/Registration # F -- 1 ' OG Notarized Signature of License Holder L - _t'"��+% HOLLY MARIE WALDEN Sworn and ubscribed before m 's day of C IOGt 1 / 4 1 2011 I.: : i MY COMMISSION # EE853737 -v i.,:=A4OF EXPIRES November 25. 2016 Sienature of Notary Public rf fr �s CITY OF ATLANTIC BEACH �� < - j 800 SEMINOLE ROAD K 1, - fi 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 -262 Job Type: ELECTRIC ONLY Description: new service 150 amps Estimated Value: Issue Date: 2/4/2016 Expiration Date: 8/2/2016 PROPERTY ADDRESS: Address: 370 SARGO RD RE Number: 171689 -0000 PROPERTY OWNER: Name: MACDOUGALL, DAVID A Address: 370 SARGO RD GENERAL CONTRACTOR INFORMATION: Name: SCHUMAN ELECTRIC INC Address: PO BOX 48171 QA JOHN JASPER SCHUMAN Phone: - - FEES: Trade Permit Base Fee $55.00 State Elec DCA Surcharge $2.00 State Elec DBPR Surcharge $2.00 New Single Family Electrical $60.00 Total Payments: $119.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Feb. 3. 2016 1:51 PM No. 3291 P. 1/1 ELECTRICAL PERMIT APPLICATION Q � CITY OF ATLANTIC BEACH 1 r- G 800 Seminole Rd, Atlantic Beach, FL 32233 �� Ph (904) 247 -5826 Fax (904) 247-5845 dn.) JOB ADDRESS: 373 0 re • '' _ _ _ PERMIT # i 5-s g .YEA INFORMATION REQUIRED ON ALL PERMITS ) 50 AMPS + VOLTS 1 PHASE VALUE OF WORK $ 10 C- NEW SERVICE ❑ Overhead IXI Underground ❑l Underground up Pole Residential (Main) Se ice 00 -100 amps 101- 150amps ❑ 151- 200arnps CJ 15D amps # of Meters r ❑ Commercial (Main) Service 00-100 amps (7101- 150amps D 151- 200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi- Family (Main) Service _ ❑0 -100 amps (l 101- 150amps 0 151-200amps 0 amps # of Unit Meters tnporary. L_ _amps 1 SERVICE UPGRADE ❑ amps L] CT Service _ amps 6/ (//,�) NEW FEEDER ADDITIONS ACCESSORY STRUCTURES, ETC.) 3 ❑ 100 amps [1150amps CJ200amps ❑ amps OCT 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 01 Sign D Smoke Detectors _Qty :Transformers TVA DMotors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK $ Qty volts /amps REPAIRS/MISCELLANEOUS LReplace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change OOH to UG ❑ Other: Permit becomes void if work dots not commence within a six month pe 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 S.J.E t5onvii le. )r>je..' ^ Phone Number _94�' S Electrical Company ti! CA a _ e +L ' �. c Office Phone 137 - L) C// Fax 39(0 L /1 0 4 1 di le State �- Zip 3��y Co. Address: po RU 4 Ai 7 1 City c )acK5A p License holder (Print): /h ,_,A U ut • • • ll State Certification/Registration # EL t -)CXo Si Q Notarized Signature of License Holder A — tt t► ^.`s MOLLY MARIE WALDEN Sworn and'bscribed before m t •s tA day of t LiarLi 2010' •• = MY COMMISSION # EE853737 ` -:, .� EXPIRES November 25, 2018 Signature of Notary Public