1765 MARTIME OAK - TEMP POLE j",1,`J-
-' `s CITY OF ATLANTIC BEACH
r 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-1653
Job Type: ELECTRIC ONLY
Description: TP01 TEMP POLE
Estimated Value:
Issue Date: 7/10/2015
Eviration Date: 1/6/2016
PROPERTY ADDRESS:
Address: 1765 MARITIME OAK 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
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
Ph(904)247-5826 Fax(904) 247-5845 5 F(I
.TOB ADDRESS: � 9'1�S AlG✓t +1 _TFO/ PERMIT# '
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
'0-100 amps '101-150amps -;151
C -200amps J amps #of Meters
Commercial(Main)Service
-i0-100 amps , 101-150amps 151-200amps ❑ amps I ;CT Service amps
Conductor Type Size
7 Multi-Family(Main)Service
f 100 amps 101-150amps = 151-200amps amps #of Unit Meters
4emporary Pole ❑ 30 amps
SERVICE UPGRADE amps [-_: CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps '200amps amps CCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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:
OTHER ELECTRICAL PROJECTS
_:Swimming Pool Sign Smoke Detectors_Qty -J Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
-,Replace Burnt/Damaged Meter Can Safety Inspection Panel Change SOH to UG
;eSther: 26 (0
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 (�t JAS it�(p E- s Phone Number
Electrical Company til� Nr^ ��� _Office Phone 3S1q- N'_9 Fax —AG-60
Co. Address: 32 t l City Jepr( State R, Zip__2 ?_
License Holder(Print): �✓��( I� '� State Certification/Registration# tZ OCO 1'7q
N igttsttr r
CHRIS M.THOMAS
Notary Pubiic -State of Florid orn and subscribed before me this — day of 201
N1y Comm.Expires Nov 12,201
;r Commission # EE 144025 afore of Notary Public `
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