595 COASTAL OAK LN 2015 ELEC NEW SERVICE v
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
U ;". ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-269
Job Type: ELECTRIC ONLY
Description: NEW LIG SERVICE 200AMPS 240VOLTS 1 PH
Estimated Value:
Issue Date: 2/4/2015
Expiration Date: 8/3/2015
PROPERTY ADDRESS:
Address: 595 COASTAL OAK LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Switch Outlets $52.80
Lighting Outlets, Including Fixtures $19.20
Trade Permit Base Fee $55.00
Wired Smoke Detectors $12.00
Total Payments: $213.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
.TOB ADDRESS: 5-9 0 C.-xf L4 . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �� AMPS2 10 VOLTS ' PHASE
VALUE OF WORK$ 7, SZw . Ud
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole
Residential(Main) Service
.0-100 amps 101-150amps X151-200amps amps # of Meters
Commercial(Main) Service
0-100 amps .101-150amps 151-200amps amps _ CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps amps # of Unit Meters
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps I200amps amps _'CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: -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: 3 Z
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors (a Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
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.
Property Owners Name \ 05`icIPhone Number
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Electrical Company M`I�Or�Ia�.QCI ��L —�L Office Phone ��"`1`�3 Fax 7S0" 1 9y
Co. Address: Z1 w. ( �
�A tJ� I City J r-)-1 State Iti Zip 3Z2 S�
License Holder (Print): 9 State Certification/Registration
No ra.o!f-Liaen� r
~� ' -', CHRISM THOMAS
2°• ` Notary Public -State of Florian orn and subscribed before me this I-/L—` day of F brv;-• 20�
My Comm.Expires Nov 12,2015
a J`
s;; o Commission#EE 144025 S1 nature of Notary Public