705 Amberjack Ln elec permit ;j I�Ly jJf
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
30SINFORMATION:
Job ID: 17-ELEC-3206
Job Type: ELECTRIC ONLY
Description: new electrical service - 150 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 QA JOHN JASPER SCHUMAN
Phone:904-737-4040
FEES:
New Single Family Electrical $60.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $119.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
R Ph(904) 247-5826 Fax (904)247-5845
,TOB ADDRESS: 6 5 11m b" al 1 l Q(\.P PERMIT
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS lJqL) VOLTS PHASE
,�,
/ VALUE OF WORK$ /OWOO
IOOO
NEW SERVICE [0 Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main)Seg�*c
00-100 amps 9101-150amps .,KI-200amps L ,150 Imps of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps ❑CTServiceamps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole C amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100amps ❑150amps 0200amps ❑ 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 ❑ 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 ❑OH to UG
❑Other.
Pemdt becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby cenify 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 previsions of
of any other state or local law regulation construction or the performance of
construction. SAµ 46r 7-tv01[$ — 44"d
Property Owners Name "' "t - - 11 Phone Number
Electrical Company SLhulvtan DCC4-aC Tran —Of fice Phone_0_2,q-t{UyO Fax 3q(o91
Co.Address: 0 Soy LivilCity c 1 AX Statef�Z�ip .�/7
License holder(Print): State Certification/Registration# Ll. 0000
Not yr, er
:A!•'+f NOLL*WALDlNe ,�--1
MY COMMIaSgN M OaoM+ea om And
scribed before me this day of I�Gbuawf q--- 20_
oanaes Hoawnber 25.202% gnature of Notary Public