410 Skate Rd - Electric Permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES1 7-0228
Description: ELECTRIC- INSTALLED ALLUMICONS ON 8 DEVICES&MISC
Estimated Value: 300
Issue Date: 12/29/2017
Expiration Date: 6/27/2018
PROPERTY ADDRESS:
Address: 410 SKATE RD
RE Number: 171557 0000
PROPERTY OWNER:
Name: ARCHIPELAGO IMMOBILIEN LLC
Address: 1140 20TH ST N
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 CIA 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$7,500.
Oec. 28, 2011 3:24PM No. 5125 P. 1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)
y 247-5826 Fax(904)247-5845 17_
JOB ADDRESS: a Q Zzg
PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ).�AMPS _DgQ VOLTS PHASE
VALUE OF WORK 3
NEW SERVICE ❑ Overhead ❑ Underground ElUnderground up Pok
CResidential(Main)Service
00-100 amps ❑101-150amps u 151-200amps ❑ amps #of Meters
OCommercial(Main)Service
00-100 amps 0101-150rmps 0151-200amps U. amps OCTSmvim_emps
Conductor Type Sim
❑Multi-Family(Main)Service
00.100 amps U 101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pok ❑ amps
SERVICE UPGRADE ❑ amps U CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps U200amps rl amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits kw
Number of Lighting Outlets,Including Fixtures:
OTHER ELECTRICAL PROJECTS
OSwimmingpool (1Siga 0 Smoke Detectors_Qty ❑Transformers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volixtemps VALUEOFWOBKS i JO 60
REPAHtS/MISCELLANEOUS
fl Replace Bumt/Demaged Metro•Can OSafoV Inspection ❑Panel Change ❑OHto UG CM1YI .SW
)$tner: 7n54-111e� MUM tons 11A 11-1c24/ ( j-In,3ae eTL+ 2eep)Arks
Pamir becomes void if work does not commence within a six month period Or work is Suspended Or abendoned for six mueths, r hereby(army Nat 1 have
read this application and know the same W be true and eomat. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not also authority to violare Ne provisions of any other sure or local law regulation o maruetlem or the performance of
construction. �
Property Owners Name Carl Ra r–be'r— 'Phone Number ra;!(e^ 462
Electrical Company cif lnllmanl 'E)L( -}rrG Office Phone '�37'cl6YQ Fax 31(,-c1/6V
Co.Address: nOk CiCity >,�)GState zip g22q
License Holder(Print); r t,l LZLState Certification/Registration#
Natarked Signature of License Holder /7 r�
' kr. HOLL*WALDEN wo a an scribed bofore ma,ltlya-LSO—hday of .�ecew,�a.e.9 201
MY COMMISSION r 00044480
EXPIRES November 2a,2020 1
ignattre of Notary Public
5Y ,
Cash Register Receipt Receipt Number
City of Atlantic Beach R3797
PermitTRAK $66,
ERE517-0228 Address: 410 SKATE RD APN: 171557 0000 $66.
ELECTRICAL $
ELECTRICAL BASE FEE �451-110WO000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING000 12 $720
FIXTURLS
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-06000 $200
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3797 0
Date Paid: Friday, December 29,2017
Paid By:ARCHIPELAGO IMMOBILIEN LLC
Cashier: LE
Pay Method: CREDIT CARD 705
Printed:Friday,December 29,2017 12:49 PM 1 of 1