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89 West 2nd Street TEMP19-0020 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER TEMP19-0020 CITY OF ATLANTIC BEACH ISSUED:6/4/2019 800 SEMINOLE ROAD ATLANTIC BEACH. FL 32233ALL EXPIRES: 12/1/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PIVI FOR NEXT DAY INSPECTION. WORK MUST CONFORMTO THE CURRENT 6TH EDITIONI OF • • • • BUILDING CONDITIONSCODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL 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. • • • . r • DESCRIPTION: 89 W 2ND ST ELECTRICAL TEMP POLE TEMP POLE $0.00 TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION: CONSTRUCTION: NUMBER: GROUP: 170836 0000 ATLANTIC BEACH SEC H COMPANY: ADDRESS: SCHUMAN ELECTRIC INC. PO BOX 48171 JACKSONVILLE FL 32247 • ADDRESS: BCEL8 LLC 7563 PHILIPS HWY#109 JACKSONVILLE FL 32256 WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR 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. USTOF CONDITIONS Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE CAPE SURCHARGE 455-0000-208-0700 0 $2.00 STATE OCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date:6/4/2019 1 oft Jun. 4. 2019 11 : 18AM No. 1081 . P. I . I INFORMATION Electrical Permit Application HIGHLIGHTED IN r city of Atlantic Beach Building Department GRAVIS REQUIRED. 800 Seminole Rd,Atlantic Beach, FL 32233 1 FIV1 -L f ED! -/ "7� 002-0 Phonne(:: (904)247-5826 Email:Buildine-Deot@coab.us PERMIT#: �,�q—u JOB ADDRESS:_ O -1 1A arIA . T PROILCT VALUE$_ JEA INFORMATION REQUIRED ON ALL PERMITS:—AMPS .VOLTS_ ,-PHASE ANEW SERVICE: ®Overhead `� Inderground ClUndergmundup vole Aliesidential(Main)Service: E30-100amps 01-150amps M51-200amps )amps #Of Meters clCommescial(Main)Service: 130-100amps ©101-150amps b1S1-200amps )_amps MCTService amps Conductor Type Size MMutti-Family(Main)Ser ilce: MiIiiiamps 0101-150amps [)151-200amps ©_amps #of Unit Meters _ TEMPORARY POLE: amps SERVICE UPGRADE:D amps Mservice_amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC): l]100amps 11150amps )]200amps t;l amps Mservice_amps ❑ADDITIONS,REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC: Outlets/Switches: 0-30amps 31-300amps _101-200amps Appliances: s 0-30amps 31-100amps 301-200amps A/C Circuits: 0-60amps _61-10Gamps Heat Circuits: #circuits @_kw Number of Lighting Outlets, Including Fixtures: ❑OTHER ELECTRICAL PROJECTS: USwimming Pool[]Sign l7Smoke Detectors.(Qtyaransforners KVA I]Motms.HP ❑FIRE ALARM SYSTEM(Requires 3 sets of plans): Qty volts/amps F1 REPAIRS/MISCELLANEOUS: (]Replace Burnt/Damaged Meter Can QSafety Inspection (Panel Change EIOH to UG updaedso/11na tether. Pil barmnes Voll Nwak does not commence within a slit month period or work o suspended or abandoned for sir months. 1 hereby cemfy that I ham read this applkaton and know,the same to be true and correct. All pro anim,of laws and crdmimcaa goeeming this work will be complied with whether specified or not The permit does notgVe auNwra i to Malate the piewbio a of anyother state a local law regulation condole ce o7rtyM performance of mnstn,ctlon. � Q�� d / I L - Phone Number:0 7 "17- L16yo Owner Name: J'-� Electdml Company. �1f ('tl ski YT fAP �'✓,I(✓_ORfce Pha le: 0 Fax: ��t��^I Co.Address: CRy: State:�ZIPZ:�n� License Holder: rMe State CartlFscatlon/Registrations: Namnzed SpnatureofUcense Holder ' The foregoing instrument was acknowl �dayaf r 20JA,,In the State of Flonds,County of J A1yal HOLLY-WALDEN Public MV COMMISSION a G00N EIPIREB Noyeacba25, n Car I J produced Idmaaason s, rn: . fly NCash Register Receipt City of Atlantic Beach R9224D fi U DESCRIPTION ACCOUNTQTY1 PermitTRAK $332.00 ERES19-0165 Address:89 W 2ND ST APN: 1708360000 $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� STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCASURCHARGE 1 455-0000-208-0600 0 $200 ERES19-0166 Address:89 W 2ND ST APN: 170836 0000 $119.00 ELECTRICAL $115.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC NEW SINGLE FAMILY 455-0000-322-1000 11 150 $60.00 STATE SURCHARGES $400 STATE OBER SURCHARGE455-0000-208-0700 0 $2.00 5TATE DCA SURCHARGE 455-0000-208-0600 1 0 $2.00 TEMP19-0020 Address: 89 W 2ND ST APN: 170836 0000 $94.00 ELECTRICAL $90.00 ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE SURCHARGES $4.00 STATE OBER SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2,00 TOTAL • $332.00 Date Paid:Tuesday,June 04, 2019 Paid By:SCHUMAN ELECTRIC INC. Cashier: CT Pay Method: CREDIT CARD 069745 Printed:Tuesday,June 04,2019 3:28 PM 1 of 1