1789 Beach Ave elec permit FBI,
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
;; yINSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0038
Description: house/kitchen electrical remodel
Estimated Value: 400
Issue Date: 6/9/2017
Expiration Date: 12/6/2017
PROPERTY ADDRESS:
Address: 1789 BEACH AVE
RE Number: 169678 0000
PROPERTY OW NER:
Name: STENNETT JOHN KEVIN
Address: 1789 BEACH AVE
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name.
Address:
Phone:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 CA JOHN JASPER SCHUMAN
JACKSONVILLE, FL 32247
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
C II `73;T gOLIO
CITY OF ATLANTIC BEACH .W '(� pej
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 ��S )�+ -0 D
JOB ADDRESS: I T Op Q C� beor Fl 111)2 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS QQO ^''^AMP D qtr VOLTS PHASE
VALUE OF WORE- 60 60
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service am #of Meters
00-1W amps ❑101-150amps 0151-200amps 0Ps
OCommercial(Main)Service ams OCTService__amps
00-100 amps 0101-150amps 0151-200anrps ❑_ P
Conductor Type Sri
❑Multi-Famiy(Main)Service ams 4o Unit Meters_
00-100 amps F1101-150amps ❑I51-200amps 0_ P
[]Temporary Pole LJ_ amps
SERVICE UPGRADE []_amps OCT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) OCT Service—amps
OIDOamps 0150amps U200amps 0_ Ps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
s
Outiets/Sw$ 31-I00amches: 0-30amps P --101-200amps
101-200amps
Appliances; V1-3 ':in 1-100amps
A/C Circuits: 0-60amps _61-IOOampsHeat Circuits: #circuits Q .kw
Number of Lighting Outlets, Including Pixnrres:
OTHER ELECTRICAL PROJECTS OTtnnsfarmers KVA OMotars,_1rp
OSwimnring Pool [] Sign []Smoke Detectors_Qty
FIRE ALARM SYSTEM (Requires 3 sets of plena) VALUE OFWORK-
Qty_volts/amps
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can []Safety Inspection OPaul Ch
eange OOHIo UG
Other
/ ��se�K2 � (gCCCIur7e x snfj!� frs N�e�en
th Ih ccb cert fy tliatihave
Pertoit becontm void if work does not commence w
rtbin a su month period o work suspended am abeed f Y
mad
thisppli.atma and
.tThc Permit does rmt give euthodtym vtme and colol etlmlprovulons ofe ycothcrdstale or
n0=1 law regulation coaaracdon or the perfinnancebof
conslmction.
Phone Number 9614" ?37-Llo C)
Property Owners Name '�q�� �.-f�0
Electrical Company 1(Il lir�0 EKC�-t'tC �UL Office Phone ��Frr�� �--i'-"'-�-'--
ry_;��rlf,Lrrtn1�IIlP StaterELZip �2
Co.Address: i O �'),, C�ft' `,',�_ Ci oV
License Holder(Print): State Certificafi ��on/Registration# sCIUICQ° 1
Notarized Signature of License Holder
ae HOLLY-WALOtlN worn mfd subscribed before me this day of c �U" ROLL
MY OOMMISSoo, p 0000aaB0 .
P
EXPIRES November 25,Tota �6'°at °f Notary Public
i
liAfCash Register Receipt Receipt City of Atlantic Beach I Number
DESCRIPTION 1 CITY PAID
PermitTRAK $94.00
ERE517-0038 Address: 1789 BEACH AVE APN: 169678 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MI5C 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4'00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 4550000-208-0700 0 $2.00
TOTAL1 $94.00
Date Paid: Friday,June 09, 2017
Paid By:SCHUMAN ELECTRIC INC.
Cashier: CT
Pay Method: CREDIT CARD 352466 w®'
Printed:Friday,June 09,20173:30 PM 1ofI 1�
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