545 Atlantic Beach Ct temp pole permit CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
o ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30BINFORMATION:
Job ID: 17-ELEC-3108
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value:
Issue Date: 1/26/2017
Expiration Date: 7/25/2017
PROPERTY ADDRESS:
Address: 545 ATLANTIC BEACH CT
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
, EC0001794
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
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 7_G LE C - 3108
Ph(904)247-588226 Fax(904)247-5845
JOBADDREss: Syr 416rdit /'[a C C PERMIT# 16-sfj2- z0,tb
JEA INFORMATION REQUIRED ON ALL PERMITS :'4PS
_LVOLTS ( PHASE
VALULOF WORK"
NEW SERVICE ❑ Overhead ❑f' esdergrouud D Underground up Pole
.esidential(Nadu)Service
L10-100 amps 6101-150amps EnS 1-200amps L amps #of Meters
OCommemial(Main)Service
110-100 amps 0101-150amps 11151-200amps L amps DCT Service amps
Conductor Type Size
DMulti-Family(Main)Service
00-100 amps 1 1101-150amps 0151-200amps amps #of Unit Meters
❑Temporary Pole Q%amps
SERVICE UPGRADE
-1-amps :1 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100amps 0150amps C200amps 0 amps OCTService amps
ADDITIONS,REMODEL c PEPAMS,BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2-30amps 31-100amps 101-200amps
Appliances: _ 0-30amps 31-100amps 101-200amps
A/C Circuits: _ _0-60amps _ 61-100amps
Heat Circuits: #circuits a _k
Number of Lighting Outlets, Including Fi,.. .res:
OTHER ELECTRICAL PROJEs—-
❑SwimmingPool ❑ Sign _ake Detectors_ _m, OTransfonners KVA CMomrshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_voltslamps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
!Replace Bumt/Damaged Meter Can CSafety Inspection -]Panel Change OOH to UG
-,Other:
Permit becomes void ifwork does not commence within a sin month period or work is suspended or abandoned for six months. I hereby certify Craft have
read this application and know the same m be true and correct An provisions of laws and ordinances governing this work will be complied with whether
specified or not The pemdt does not give authority to violate the provisions of any other slate or Ideal Law regulation construction or the performance of
construction.
Property Owners Name %❑Ll, 610 ✓i Phone Number
Electrical Company M c0 dI e&c fver0 Office Phone Fax
Co.Address: 37-1 I w- (3eCAVA� S , city Jam state zip 3az3z/
License Holder(Print): Lam'' C � St $Certi gistmtion# E LoGD r"T3'y
Notdriu. d Si�reahrre o L' ns er " _ �0
✓ ,Z$, CHRIS M.THOMAS
y e Notary pualic State of Flnrltla worn and subscribed before me this .)6121- day of -••1 201 7
Commission♦FF 943955
y,�p;' My comm.Expires Dec 15.2019 1guature of Notary Public /•
Y Bonded aroupn honest Navy Assn.