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95 W 2nd ST ERES19-0186 new service permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0186 800 SEMINOLE ROAD ISSUED: 6/20/2019 ATLANTIC BEACH. FL 32233 EXPIRES: 12/17/2019 MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION. ALL WORK MUST CONFORMTO THE CURRENTr • • OF • • DA 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: r • OF • • 95 W 2ND ST ELECTRICAL RESIDENTIAL NEW SERVICE $1000.00 TYPE OF r ZONING: : r • • • GROUP: 170837 0000 ATLANTIC BEACH SEC H COMPANY: ADDRESS: CITY: STATE: ZIP: SCHUMAN ELECTRIC INC. PO BOX 48171 JACKSONVILLE FL 32247 • ADDRESS: CITY: STATE: BCEL 8 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. Roll off container company must be on City approved list. Container cannot be placed on City right-of-way. J DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC NEW SINGLE FAMILY 455-0000-322-1000 150 $60.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00 TOTAL:$119.00 Issued Date:6/20/2019 1 of 2 ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER CITY OF ATLANTIC BEACH ERES19-0186 800 SEMINOLE ROAD ISSUED: 6/20/2019 - EXPIRES: 12/17/2019 ATLANTIC BEACH, FL 32233 Issued Date: 6/20/2019 2 of 2 r Electrical Permit Application "ALL INFORMATI N HIGHLIGHTED IN J " City of Atlantic Beach Building Department GRAY IS REQUIRED. 800 Seminole Rd, Atlantic Beach, FL 32233 `O1S"r Phone: (904) 247-582\6 Email: Building-Dept@coab.us PERMIT#: q (X)y JOB ADDRESS: EI " a n G ST rU-} PROJECT VALUE$1000.00 JEA INFORMATION REQUIRED ON ALL PERMITS: 150 AMPS 240 VOLTS 1 PHASE NEW SERVICE: OOverhead Underground EjUnderground up Pole MResidential(Main)Service: ®0-100 amps b6101-150amps 0151-200amps El amps #of Meters ElCommercial (Main)Service: ❑0-100 amps 0101-150amps 0151-200amps El amps I]CTService amps Conductor Type Size UMulti-Family(Main)Service: 00-100 amps 0101-150amps 0151-200amps © amps #of Unit Meters TEMPORARY POLE: amps El SERVICE UPGRADE:❑ amps ❑CTService amps ❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.): 0100amps ❑150amps []200amps ❑ amps ❑CTService 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: []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 10/17/18 ❑3ther: 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 I 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. R Ir F LLj /C Owner Name: -t,a Phone Number: Electrical Company: Schuman Electric,Inc Office Phone: 904-737-0040 Fax: Co.Address: PO BOX 48171 City: Jacksonville State: FL Zip; 32247 License Holder: John Schuman III State Certification/Registration#: EC13006884 Notarized Signature of Llcense Holder The foregoing Instrument was acknowledged tef me~th(say of 20 In the State of Florida,County of 0".- ''�+'., HOLL* WALDEN 'gn ture of Notary Public - MYCOMMISSION p GG044 f8p rsi5en �,Ealon: OR[ ] Produced Identification r EXpIRE8 November 25,20 4.99.. 29P o