145 8th St elec permit (2) CITY OF ATLANTIC BEACH
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: 17-ELEC-3182
Job Type: ELECTRIC ONLY
Description: 200 amps/240 amps/single phase -
Estimated Value: $700.00
Issue Date: 2/6/2017
Expiration Date: 8/5/2017
PROPERTY ADDRESS:
Address: 145 STH ST
RE Number: 170323-0000
PROPERTY OWNER:
Name: Sellers, Jeffrey B
Address: 145 8Th ST
GENERAL CONTRACTOR INFORMATION:
Name: SCHUMAN ELECTRIC INC.
John Jasper Schuman III, ECI30o6884
Address: PO BOX 48171 QA JOHN JASPER SCHUMAN
Phone:904-737-4040
FEES:
Electrical Service Change $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 7rHE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
I 'C q 11P,h(904)247-5826 Fax(904) 247-5845 Jam- E L EL- 31$a
JOB ADDRESS: I "( J 077 1 �S-� nn[[,, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPSO VOLTS �_PHASE
�d7
VALUE OF WORKS 700'00
NEW SERVICE ❑ Overhead ✓Underground ❑f Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps - 51-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service_amps
Conductor Type Size
❑Multi-Family(Main)Service
C0-100 amps D101-150amps 1151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ 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
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Buumtt//Dam 'Y_.l_
aged M,eet�err Can 1.Safety Inspection ❑Panel Change H to UG
❑Other. ( (J4A I Wlre LJY 4Ut
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 goveming this work will be complied with whether
specified or not The permit does not give authority to violate the provisions of any other slate or local law regulation construction or the performance of
construction.
Property Owners Name 1; e.)6t-I CDI r5 Phone Number -71q— 533
Electrical Company I1C Office Phone 37-y6YO Fax 3qj-4loy
Co.Address: 00 98y Y9171 CiTy , Ie state F Zip, 220
License Holder(Print): IG. State Certification/Registration#
Nota ' License Holder `'t
,• "°`'$;-. HOLLY WALDlN S om and scribed before me is day of -. rVA 20j`
Mr�wlaelott �aww
. E%PInE9 doasrrly 2s• i attue of Notary Public