610 TIMBER BRIDGE LN - TEMP POLE 01-Aktif,
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CITY OF ATLANTIC BEACH
AA -. 800 SEMINOLE ROAD
s)
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
;IX r 1119
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-1844
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 7/30/2015
Expiration Date: 1/26/2016
PROPERTY ADDRESS:
Address: 610 TIMBER BRIDGE 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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH AI,I. CITY OF ATLANTIC BEACH ORDINANCES AND "1.11E FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION DD_4
CITY OF ATLANTIC BEACH L V 1
800 Seminole Rd, Atlantic Beach,FL 32233 —=:,7
Ph (904)247-5826 Fax (904) 247-5845 �' -
JOB ADDRESS: (Da) Wt 1(CJ ocX 2-/-*/ PERMIT# /c- 'q-C.20
JEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS Z46 VOLTS / PHASE
VALUE OF WORK S CI= 00
NEW SERVICE ❑ Overhead n Underground ❑T Underground up Pole
Residential(Main)Service
!0-100 amps ` !101-150amps H 151-200amps amps #of Meters
Commercial(Main) Service
H0-100 amps 101-150amps H 151-200amps amps I-CT Service amps
Conductor Type Size
.Multi-Family(Main)Service
20-100 amps H 101-150amps .-:151-200amps :; amps #of Unit Meters
Temporary Pole 30 amps
SERVICE UPGRADE :-; amps ! CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
H100 amps -'150amps -_'200amps amps !.CT 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 H Sign H Smoke Detectors_Qty __.'.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 r.Panel Change r 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 R,VA.&( 4 `)ryteS Phone Number
Electrical Company Ad teeN/0,-/c/ C tcf CC Office Phone on3 Fax 70,- /4'8/
Co. Address: 31t l^; /3r /-ce °L. City c 1� State Zip Z2,
License Holder(Print): iOd'i/ ' e State Certification/Registration# L%2 /71V
Not r' a Si nature o License Holder 6
CHRIS M.THOMAS S orn and subscribed before me this 30+`' day of :To 20 IS
'. _ Notary Public-State of Florida
#a :_?My Comm.Expires Nov 12.20& nature of Notary Public
c: Commission # EE 144025
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