1630 ATLANTIC BEACH DR - ELECTRIC \cs\ CITY OF ATLANTIC BEACH
'. ,9 800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
______j INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ELEC-1558
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 6/29/2015
Expiration Date: 12/26/2015
PROPERTY ADDRESS:
Address: 1630 ATLANTIC BEACH DR
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
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax ax (904) 247-5845 /5 -.5F4 - 735
JOB ADDRESS: I l0 30 1�n11`t-f c,--'f'C (oa c- , PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS wU AMPS Zr-fV VOLTS I PHASE
VALUE OF WORK$ .1 S7)o • 00
NEW SERVICE ❑ Overhead (Underground ❑J Underground up Pole
t esidential(Main) Service
,0-100 amps [:101-150amps ;151-200amps amps # of Meters
r Commercial(Main) Service
H0-100 amps L 101-150amps ( i 151-200amps amps ' 1CT Service amps
Conductor Type Size
H Multi-Family(Main)Service
;0-100 amps _101-150amps :151-200amps , . amps # of Unit Meters
HTemporary Pole amps
SERVICE UPGRADE amps ; i CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 11150amps :_i200amps i : amps !CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /0l-6-30amps 31-100amps 101-200amps
Appliances: - tf-- 0-30amps 31-I00amps 101-200amps
A/C Circuits: - -- 0-60amps 61-100amps
Heat Circuits: —' # circuits @ kw
Number of Lighting Outlets, Including Fixtures: -31
OTHER ELECTRICAL PROJECTS
:Swimming Pool ; Sign moke Detectors (p Qty r iTransformers KVA 'Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can i Safety Inspection L:Panel Change ' 1 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 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 /3t VA-5 t CC,, (40 S Phone Number
Electrical Company Mc r 0_PcJ £(r cr'WC Office Phone 3S7o-5 Fax •78ro-IQ 89
Co. Address: 3Z(I (v. &a✓4_, c . City J> State Zip 7Z2 SLl
License Holder(Print): 1-0144-(i. t (ofhe TT St Certification/Registration# 1?- t'O/ 7/V
Noar'z' , i. , , r
APR. 'gym% CHRIS M.THOMAS 20
Notary Public State of Florid orn and subscribed before me this en— day of -•
.' ❑u . My Comm.Expires Nov 12,20
P Commission # EE 144025 0i ature of Notary Public - �Lf