133 Belvedere St new elec permit r 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: ERES18-0062
Description: 150 amps/240 volts/single-phase -elec for new house
Estimated Value: 1000
Issue Date: 2/27/2018
Expiration Date: 8/26/2018
PROPERTY ADDRESS:
Address: 133 BELVEDERE ST
RE Number: 170587 0000
PROPERTY OWNER:
Name: SALT AIR HOMES INC
Address: 226 TALLWOOD RD
JACKSONVILLE BEACH, FL 32250
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: SCHUMAN ELECTRIC INC.
Address: PO BOX 48171 QA 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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
CCS. c6c ,V3 a .�
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Set-dinole,Rd,Atlantic Beach;FL 32233. /�
Ph(904)247-5826 Fax((904)247-5845 �`� _^ D V
JOB ADDRESS:....! Pe V Q-r1(a e- l i-i.: 1CtY1 iL... PERMIT#
132'3 i
JEA INFORMATION REQUIRED ON ALL PERMITS /,2 AMPS r?YCVOLTS �— PHASE
:3
Vit1:UB OT WORK 3 l G
NEW SERVICE ❑ Overhead Inder-ground 0 Undor•ground up Pole
�csidenHal(MainFsellva //❑0.100anTpsi50nmps 0151-200omps,. ❑ amps fofMetetOCommereinl(Maice
00-100 amps U 101-150amps U 151.200amps U amps OCT Service amps
Conductor Type Size
nMultl-Family(Main)Service i
110-100 amps n i,01-150omps In I51-200amps Cl amps 0 of Unit Meters f
emporary Pole 0_ nips
SERVICE UPGRADE U amps U CT Service amps f
.i
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 anTps 0150amps 0200amps 0 amps OCT Service amps
ADDPI'IONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC,
Outlets/Switches: 0-30alnps 31-100aulps .101-200amps
Appliances: 0-308111ps 31-100anrps 101-200anrps
A/C Circuits; 0-60amps _61-1004nips
Heat Circuits: #circuits @ kw I
Number of Lighting Outlets,Including Fixtures: f
.i
OTHER ELECTRICAL PROJECTS t
❑Swimming Pool l7Sign ❑SmokeDetectors_Qty nTmnsfornTers KVA ❑Motors lip
J
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty vohslamps VALUE OF TFORK$
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can nSafety Inspection Ul'anel Change DOH to UO
❑Othor:T /y I rT ri�'w t t(o--w—
Pemnit becanos void If work does not commence within a six month period or work Is suspended or abendared forsix months 1 hereby certify awt I Pave
read this application and know the same lobe taw mod correct.All provisions of laws and ordinances governing this work wilt be complied with wholher
specified or not.The Mitill duos not give authority to violate the provisions of any other stale or local late regulation construction or tine porfaraance of I ,
consauellon. _ �+
Property Owners Name�y ICCt t1 L,6C 5-e �� Phone Number I QT' .� j—�. o i
Electrical Company schu Y ayl ec. y(C- Office Phone 7 3l-y640 Fax :3616,•YLY
Co.Address' DD zu- qyll City Glx _State-FL Zip 221
License Holder(Print): f State Certification/Registration# Fl:
No! older
HOLO WALDEN
MY COMMISSION A G60444818worn and all cribed before me clay of_ 2U a 11
EXPIRE8 November 26.2020 t
Signature of Notary Public
:t
.1
i
:t I
Cash Receipt Number
Register
City of Atlantic Beach •
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $119.00
ERES18-0062 Address: 133 BELVEDERE ST APN: 170587 0000 $119.00
ELECTRICAL $115.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALR4378 11
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,:L 32233
02/27/2018 16:42:14
CREDIT CARD
VISA SALE
CARD#; XXXXXXX)0(W8459
:INVOICE 0011
SEQ#: 0009
Batch#: 000744
Approval Code: 088646
Entry Method: Manual
Mode: Onlwx
Tax Amount. $0.00
:aid Code. M
SALE AMOUNT $119,00
CUSTOMER COPY
Date Paid:Tuesday, February 27, 2018
Paid By: SCHUMAN ELECTRIC INC.
Cashier: CB
Pay Method: CREDIT CARD 088646
00
Printed:Tuesday, February 27,2018 4:43 PM 1 of 1 .�
TRMT