705 Amberjack Ln temp elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
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
706 INFORMATION:
Job ID: 17-ELEC-3205
Job Type: ELECTRIC ONLY
Description: temporary pole permit- 60 amps/240 volts/single phase
Estimated Value:
Issue Date: 2/8/2017
Expiration Date: 8(7/2017
PROPERTY ADDRESS:
Address: 705 AMBERJACK LN
RE Number: 171193-0000
PROPERTY OWNER:
Name: SALT AIR HOMES
Address: 226 TALLWOOD RD JACKSONVILLE BEACH, FL 23250
GENERAL CONTRACTOR INFORMATION:
Name: SCHUMAN ELECTRIC INC.
John Jasper Schuman III,EC13006884
Address: PO BOX 48171 OA JOHN JASPER SCHUMAN
Phone: 904-737-4040
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
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
n'-- Ph(904) 247-5826 Fax(904)247-5845
JOB ADDRESS: � }IT f 05 b'LjY , a r k / n 1'30 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS _fV_L_AMPSr�y )VOLTS PHASE
VALUEOFWORKS IL)0 . 60
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 1101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
F10-1 00 amps . .101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
I Multi-Family(Main)Service
CO-100 amps101-150amps 11151-200amps ❑ amps #of Unit Meters
XTemporary Pole ❑amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 11150amps 0200amps ❑ amps ❑CTServim 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 ❑Motom hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qtyvolts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Bummt/Damaged Meter Can ❑jcfSafety Inspection ❑Paan�el, / ��Change ❑OH to UG
❑Other: J.Q.. .�64cr 12 Fti" k �p
Permit became.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 une 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. Salo Air
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Property Owners Name_ t`il lS.Rtr="'ridil'1t'G Phone Number fl& ' y9 T5_
Electrical Company schurmn J rj-✓ie- C OfficePhone x.3'7-ydyd Fax
Co.Address: 0 Aor qf17) City ( )ay State F Zip " y?
License Holder(Print): State Certification/Registration# Ec 6606F1'4
No oder p T�
MV COMMISSION tf OGOa168 w,om and scribed before me 's a day of T e kn.li i. 4 20L
EXPIRES Nrromeer 25,2020
ignature of Notary Public