610 Begonia St ERES19-0169 New Service ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0169
800 SEMINOLE ROAD ISSUED: 6/6/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 12/3/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
610 BEGONIA STREET ELECTRICAL RESIDENTIAL NEW SERVICE - 200 AMPS $1000.00
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
1709210000 ATLANTIC BEACH SEC H
COMPANY: ADDRESS: CITY: STATE: ZIP:
SCHUMAN ELECTRIC INC. PO BOX 48171 JACKSONVILLE FL. 32247
OWNER: ADDRESS: CITY: STATE: zip..
HOLSTAR LLC 6685 BOWIE RD JACKSONVILLE FL 32219
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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
E
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00.
STATE DBPR SURCHARGE 45S-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date:6/6/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0169
800 SEMINOLE ROAD ISSUED: 6/6/2019
r ATLANTIC BEACH. FL 32233 EXPIRES: 12/3/2019
Issued Date: 6/6/2019 2 of 2
Jun. 4. 2019 4A4PM No. 1089 P. I
Electrical Permit Application "ALL INFORMATION
HIGHLIGKTED IN -
.3 City of Atlantic Beach Building Department GRAY IS REQUIRED.'
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Del)t@ccliab.Lis PERMIT#: /6?
JOB ADDRESS: rl, 0 C- n PROJECT'VALUE
JEA WFORMATION REQUIRED ON ALL PERMITS; AMPS,-'jLbV0LTS PHASE
NEW SERVICE: Cloverhead 10inderground C]UndergroundupPole
9:11esidentlal(Main)Service-,
MO-100 amps E:1101-150amps T(f,51-200amps K—,2&s #of Meters
OCcimmercial (Main)Service:
[10-100amps 17101-150amps 0151-200ZIMP5 17 amps C]CT Service amps
Conductor Type Size
CMulti-Family(IMain)Service-,
M100 amps 0101-150amps E]151-200amps 0 --.-amps #of U nit Meters
EITEMPORARY POLE: amps
SERVICE UPGRADE;El—amps OCT Service amps
F-1 NEW FEEDER(ADDITIONS, ACCESSORY STRUCTURES, ETC.):
E1100 amps [3150amps r1200amps C amps OCT Service amps
L1 ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,.FTC:
Outlets/Switches. 0-30am ps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: Q-60aMp5 _61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
[]Swimming Pool OSign DSmoke Detectors_(Qty) []Transformers KVA Dmotors HP
FIRE ALARM SYSTEM(Requires 3,5ets of plans):
Qty volts/amps—
REPAIRS/MISCELLANEOUS:
OReplace Burnt/Dama8ed Meter Can E]Safety Inspection [_-)Panel Change [1OH to UG
Dther; Updated 10117118
Permit becomes vcid if work does not cornmence wtthln a six month period or work is suspended or abandoned for six months. I hereby cer0lythat I have
read this appilration and know the same to be true and correct. All provIslons of laws and ordinances governing this work will be complied wfth whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction,
Owner Name: ff)lr� llfk r-Le -r\JQC-k fl- Number:, 06 2 r,?,.
Electrical Company-. )MQ--n F.I<Cjj!�tC OfficePhone: Fax- qiQq
city.
Co.Address- PC) ac))( YXI, State: EL zip:. szzcj
License Holder: State Certification/Regi5traticing:
Notarized Siqnature of License Holder
The foregoing instrument was acknow e efo e this 00)Jay of
---4— 20a In the State of Florida, County of-ZILL-VA
HOLL* WALDEN Public
ature of!Notary Pu
my coMMISSION 0 0004"
overn rsonally Known OR I I Produced idpritificatior
F-XPIRES N 6111110'26,
e uf Identif
§E ication:
Cash Register Receipt Receipt Number
City of Atlantic Beach R9242
DESCRIPTION ACCOUNT CITY PAID
PermitTRAK $223.00
ERES19-0169 Address: 610 BEGONIA STREET APN: 1709210000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 45S-0000-322-1000 200 $70.00
STATE SURCHARGES $4.GO
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TEMP19-0021 Address: 610 BEGONIA STREET APN: 1709210000 $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 DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R9242 $223.00
Date Paid:Thursday,June 06, 2019
Paid By: SCHUMAN ELECTRIC INC.
Cashier: CT
Pay Method: CREDIT CARD 034639
Printed:Thursday,June 06,2019 1:04 PM 1 of 1