1643 Atlantic Beach Dr new elec permit ?Sy-11IJ�ln..
s CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
��J.319S.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2426
Job Type: ELECTRIC ONLY
Description: new underground electrical service - 200 amps/240 volts/
single phase
Estimated Value: $8,000.00
Issue Date: 10/28/2016
Expiration Date: 4/26/2017
PROPERTY ADDRESS:
Address: 1643 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
, EC0001794
Address: 6915 WEST BEAVER ST CIA LARRY BRIAN CARTER
Phone: -
FEES:
New Single Family Electrical $70.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDWANCES AND THE FLORIDA
BURRING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
nP,�h(904)247-5826 Fax(904) 247-5845 b L
-66L 2 Ya_Io
JOB ADDRESS: /(py�i 'z4le- cti flea,r. & PERMIT# 11,-99t -lg5y
JEA INFORMATION REQUIRED ON ALL PERMITS ZW AMPS 0'10 VOLTS / PHASE
YALUEOFWORKS B4OX7.00
NEW SERVICE ❑ Overhead underground ❑i Underground up Pok
❑Residential(Main)Service
00-100 amps ❑I01-150amps [3'61-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150mnps 13151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 151-200amps f amps #of Unit Meters
❑Temporary Pole Elaimpos
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑I00 amps ❑I50amps 200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 73 0-30amps 31-100amps 101-200amps
Appliances: 5 0-30amps 31-100ur ps 101-200amps
A/C Circuits: 2 0-60amps 61-100amps
Heat Circuits: Z # circuits @=kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECT, ,
❑Swimming Pool ❑ Sign moke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
"..Other.
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 pemtit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
constmction.
Property Owners Name /JAL g° `tel Phone Number
Electrical Company Cyt c y�n/A�a( Office Phone W? f'e?J` Fax -706-001
01
Co.Address: 3?p !N a 5'r i+iti '- City J+'`FF State zip '/zzJ"z/
Limon Holder(Print): 40i/' �� State Certification/Registration# �ZOCUI
Illf-11
' i r a e License Holder, CHRIS M.THOMAS nn�. Notary Public-Slate of Florida Sworn and subscribed before me this e?'7— day of (1.4..6., 20J�Commission #FF 943955SI tme Of NO Public
My Comm.E.Pimr Dec 15,2019 1pg5,,, Bonded Ikoaph National Ndary Assn.