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34 Dudley St TEMP19-0023 temp pole permit ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH TEMP19-0023 800 SEMINOLE ROAD ISSUED: 6/20/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 12/17/2019 MUST CALL INSPECTIONi 904 247-5814 BY , PM FORDAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • ' ! BUILDING CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES . ALL CONDITIONS OF • ! 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: PERMITTYPE: DESCRIPTION: VALUE OF WORK: 34 Dudley St ELECTRICAL TEMP POLE 34 DUDLEY ST-TEMP POLE $100.00 TYPE OF ZONING: : ! • • • GROUP: COMPANY: � ! • SCHUMAN ELECTRIC INC. PO BOX 48171 JACKSONVILLE FL 32247 • ADDRESS: AMERICAN CLASSIC 4550 St Augustine Road JACKSONVILLE FL 32207 HOMES LLC 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. 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 DBPR SURCHARGE 45S-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00 TOTAL:$94.00 Issued Date: 6/20/2019 1 of 2 ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER TEMP19-0023 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ISSUED: 6/20/2019 "O;3 }' ATLANTIC BEACH, FL 32233 EXPIRES: 12/17/2019 Issued Date:6/20/2019 2 of 2 rn VOL Irv-1-V2, ON Electrical Permit Application HIGHLIGHTEDIN "'. City of Atlantic Beach Building Department _GRAPY IS REQUIRED. 0 `.{ 800 Seminole Rd, Atlantic Beach, FL 32233 Phone: (904) 247-5826 Email: Building-Dept @@coabms PERMIT#: F�Sci•- �t JOB ADDRESS: ! �"� if tiPROJECT VALUE$ .>6% �' `►�``' JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE NEW SERVICE: ©Overhead ,nderground ®Underground up Pole OResidential (Main)Service: 00-100 amps 71-150amps 0151-200amps 0 amps #of Meters ElCommercial (Main)Service: M7.0-100amps ®101-150amps 1151-200amps ® amps OCT Service amps Conductor Type Size L3Multi-Family(Main)Service: 00-100 amps 12101-150amps 12151-200amps E] amps #of Unit Meters XTEMPORARY POLE: L10amps SERVICE UPGRADE:❑ amps ❑CT Service amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): r7100 amps 1❑150amps (❑200amps []_amps ®CT 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: # clrcuits @ kw Number of Lighting Outlets, Including Fixtures: ❑ OTHER ELECTRICAL PROJECTS: ❑Swimming Pool❑Sign []Smoke Detectors (Qty) [transformers KVA ❑Motors HP ❑ FIRE ALARM SYSTEM (Requires 3 sets of plans): Qty ,volts/amps ❑ REPAIRS/MISCELLANEOUS: ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection (]Panel Change []OH to UG Updated 10117118 tether: Permit becomes void If work does not commence within a six month period or work Is suspended or abandoned for six months. I hereby certify that 1 have reAd this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with 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. "1�(� Owner Name:��'I�.��1...i��L-.r5Lo1.�j j `a Phone Number: ��,S^ � y— �^f Electrical Company: Schuman Electric,Inc Office Phone: 904-7374040 Fax:, �"`1 10 7 Co.Address: PO BOX48171 City: Jacksonville: State: FL Zip: 32247 License Holder: John Schuman [[I ,' State Certification/Registration#: EC13006884 Notarized Signature of License Holder / The foregoing Instrument was acknowle�f d before me this(.'"l'day o 2014 In the State of Florida,County oftwl HOLLY,f�yA�p�N ture of Notary Public MY COMMISSION 0 000 ersonally Known OR[ ]Produced Identification EXPIRES November 28,206 of Identification: