1642 ATLANTIC BEACH DR ELEC NEW SERVICE , CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
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-1595
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 7/2/2015
_ Expiration Date: 12/29/2015
PROPERTY ADDRESS:
Address: 1642 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:MCDELECTRIC
Name:
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTE
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826/Fax (904) 247-5845 5- S F� - 6 yz
x
JOB ADDRESS: 11' 2- 444 C-^' riC" &C.'-1^ Jr PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZW AMPS 0-1(0 VOLTS / PHASE
VALUE OF WORK S 7, Sia ' uy
NEW SERVICE ❑ Overhead Underground ❑T Underground up Pole
esidential(Main)Service
-;0-100 amps C!101-150amps HiQ 51-200amps J amps #of Meters
Commercial(Main) Service
71110-100 amps L 101-150amps -7.151-200amps amps iCT Service amps
Conductor Type Size
Multi-Family(Main)Service
-;0-100 amps 101-150amps 151-200amps amps #of Unit Meters
,-Temporary Pole ❑ amps
SERVICE UPGRADE amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps7150amps I200amps amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /0V 0-30amps 31-100amps 101-200amps
Appliances: U 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: �_ # circuits @ kw
Number of Lighting Outlets, Including Fixtures: ;—
OTHER ELECTRICAL PROJECTS
_'.Swimming Pool =, Sign Smoke Detectors�o Qty Transformers KVA C IMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAIRSMSCELLANEOUS
7Replace Burnt/Damaged Meter Can ; Safety Inspection Panel Change LOH to UG
Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name /� ✓�$/ - ���"�`S Phone Number
Electrical Company M o dc-jc,( J!�6 c 1ni C Office Phone 35?.- 9`e-73 Fax--78(1-10 l
Co.Address: 32-11 w. 6 o•vv a?-. City J►9x State i Zip 3usy
License Holder(Print): L-O"" t4r" State Certification/Registration# C-&01T9
/-7
No a�u�re �ic1� r _
CHRIS M.THOMAS �� J v� 201
=? - Notary Public-State of FloridaS orn and subscri ed before me this�—day of
. • If
My Comm. Expires Nov 12,20
Commission # EE 144025 o ature of Notary Public
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