1643 Atlantic Beach Dr temp elec permit CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
J . .. . ;� ATLANTIC BEACH,FL 32233
>_. . -.
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-2425
lob Type: ELECTRIC ONLY
Description: temporary electrical service - 30 amps/240 volts/single
phase
Estimated Value: $100.00
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:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Temporary Electrical Service $35.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
n,,Ph(904)247-5826 Fax(904)247-5845 j(p 'f tz a%at
JOB ADDRESS: /(043 A-le -tat &'C-1- 0'- PERMIT# AP-SfR-144'/
JEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS 7-1`0 VOLTS I PHASE
VALUEOFWORKS 100.00
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
❑0-1 OO amps 1:1101-150amps 151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps 11151-200amps II amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
1:10-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters_
❑Temporary Pole J�_, a amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps C'.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-I00amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Q 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 VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection i Panel Change ❑OH m UG
caner:
Permit becomes void if work does not commence widen 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
consumboon.
Property Owners Name 'r"' v�� �� Phone Number
Electrical Company /-nt!)d -4t"fa Office Phone fa-ly"73 Fax VV/98k/
Co.Address: 3211 W- &6~ city J'-V State K- zip 72z
License Holder(Print): /J /State Certification/Registration# �ZtYYS�y
Mre A rr r ��rdel
HRIS M.THOMAS T—r•
Public-Stale of Florida worn and subscribed before me this I -L dayof nr4A._ 20�mission Ar FF 943955m.Expires Oec 15.2019 ignahne of Notary Publicrou911 National Notary Assn.