457 SAILFISH DR - ELECTRIC _-)' 0
'' s CITY OF ATLANTIC BEACH
;.te r, ,,,,, -,,. si 800 SEMINOLE ROAll
�` .j";�' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1657
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 150 AMPS, 240 VOLTS SINGLE
PHASE
Estimated Value: $1,000.00
Issue Date: 7/22/2016
Expiration Date: 1/18/2017
PROPERTY ADDRESS:
Address: 457 SAILFISH DR
RE Number: 171374-0000
PROPERTY OWNER:
Name: BROWN, BENJAMIN JR
Address: 457 E SAILFISH DR
GENERAL CONTRACTOR INFORMATION:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 QA JOHN JASPER SCHUMAN
Phone: 904-737-4040
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: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BIill DING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 i / – ,1-- L—C__ -- I Co 5-7
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Li Ci 5a 11-V 15'1 - rive E aS+ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS j 5 U AMPS ago VOLTS I PHASE
VALUE OF WORK IC' MO •OC)
NEW SERVICE ❑ Overhead I!4 Underground J Underground up Pole
[Residential (Main) Service I
00-100 amps i•101-150amps 7151-200amps ❑ amps # of Meters
[Commercial(Main) Service
[10-100 amps ❑101-150amps [7151-200amps ❑ amps OCT Service amps
Conductor Type Size
[Multi-Family(Main) Service
70-100 amps L7101-150amps [1151-200amps ❑ amps # of Unit Meters
Temporary Pole ❑_ amps
SERVICE UPGRADE ❑ amps 7 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200atnps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors Qty [Transformers KVA [Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection [Panel Change 0O 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. i
Property Owners Name O(J(s0 rl till l l( 1- f lLS Phone Number 3t1 6' LASS-
Electrical Company Oman Elea r'ic L,-1c, Office Phone 737.-goy° Fax .,Si(o'` 06 t.'
Co.Address: p6 P(J tJ g j 71 City J OX State fUZip 3 22,17
License Holder(Print): 0 6h n c-r I V1'Y)Ct,. - State Certification/Registration# JG I OQ( I
Notarized Signature of License Holder
;a '"'' ;w HOLLY MARIE WALDE worn d subscribed before me th' �) day of J (��� 20,f'
wt ••'c MY COMMISSION#EE853737
..,. 40. ignature of Notary Public
-t;?-t;? EXPIRES November 25,2018
(407)398-0153 FlondallotaryServrce.corn