1765 MARITIME OAK - NEW ELEC SERVICE CITY OF ATLANTIC BEACH
r y 800 SEMINOLE ROAD
1 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
DIM''
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1596
Job Type: ELECTRIC ONLY
Description:
NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 7/2/2015
Elation Date: 12/29/2015 -
PROPERTY ADDRESS: F
Address: 1765 MARITIME OAK DR
RE Number: None k
GENERAL CONTRACTOR INF MMAT OA CDOD ELECTRIC
Name:
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
103
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB
JOB ADDRESS: / 7o h, ✓`y 0''4y— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS ZH6 VOLTS PHASE
VALUE OF WORKS &, S?
NEW SERVICE ❑ Overhead [9 Underground OT Underground up Pole
Residential(Main) Service
0-100 amps !101-150amps K151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-150amps 151-200amps amps -:CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: j3 _ 0-30amps 31-100amps 101-200amps
Appliances: W 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: �_ # circuits @ kw�Z
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJETS
Swimming Pool Sign Smoke Detectors EQty ITransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change 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 /�� ✓</S�644 ✓v.S Phone Number
Electrical Company
P61-\)Na-Od G-(c.nZIC Office Phone 3�&-q`l�3 Fax 78(o^IQ8y
Co. Address: 32� l �' (�oa ✓t City cJr1/, State Zip 32
License Holder (Print:
/9 �'. -e.- State Certification/Registration# LAG 0:;'a f-7- y
N r
?�.+µY"8, CHRIS M. THOMAS orn and subscribed before me this !-* day of J,,14 2015'
1 Notary Public -State of Florida
:. \.
s+ My Comm. Expires Nov 12,201 nature of Notary Public
:;; Commission # EE 144025 g