340 8th ST - ELECTRICAL NEW (----
' y\l�� .1I!"= �, CITY OF ATLANTIC BEACH
..r_ 800 SEMINOLE ROAD
1c x._ , r 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: 16-ELEC-1931
Job Type: ELECTRIC ONLY
Description: new underground service
Estimated Value: $1,000.00
Issue Date: 8/24/2016
Expiration Date: 2/20/2017
PROPERTY ADDRESS:
Address: 340 8TH ST
RE Number: 169928-0000
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
Trade Permit Base Fee $55.00
Electrical Primary Service $50.00
Total Payments: $109.00
11
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
QPh�(904)247-5826 Fax (904)247-5845 b_�L�L_ ic
3
JOB ADDRESS: 3L/0 U 7 Y / 5Tr- e PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 16 0 AMPS 0 H()VOLTS �1 PHASE
VALUE OF WORK$ Ian 00
NEW SERVICE ❑ Overhead rtg Underground nT Underground up Pole
❑Residential(Main) Service
00-100 amps ` 01-150amps 0 151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
DO-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
[]Temporary Pole 0 amps
SERVICE UPGRADE ❑ amps D CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D 100 amps 0150amps 0200amps D 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 D Sign 0 Smoke Detectors Qty []Transformers KVA nMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/NIISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection []Panel Change 0011 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 authooitt to violate e provisions other state or local law regulation construction or the performance of
construction. /[/'�/f� / b ', JIC�Property Owners Name l4'aep+���'►t g�IY /x� ':4 i/ , Phone Number aq6- Lig 2c
Electrical Company (.. ...,11U Mr1 El. Q C) ..)--TIC- Office Phone —737 Fax 3%C:'z/)dy
Co. Address: al&O 54— 1..)4 I rts fol• City JC))c State FL Zip 2 207
License Holder (Print): ch11 filli ' OL') 1L State Certification/Registration# EC 13606 f'Z
Notarized Signature of License Holder 1
.t. Y v„ HOLLY MARIE WALDE wo , . , bscribed before m: ti Q) day of �G,U,5q- 201
- :': MY COMMISSION#EE853737 `"'�J
'' ' ' EXPIRES November 25.2016 ignature of Notary Public /-N
M?,398-0153 FbndallotaryService.com