581 TIMBER BRIDGE LN - TEMP POLE \s A CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
W ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2134
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 9/9/2015
Expiration Date: 3/7/2016
PROPERTY ADDRESS:
Address: 581 TIMBER BRIDGE LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Ph one: - -
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233 ( 5 _.E,L It C - Z ►3 4
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: . / l ry b y Z/4 Lt., 7---e 0 / PERMIT# /f-- S FEZ-/Soo
JEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS ZWO VOLTS / PHASE
VALUE OF WORK$ 100 .00
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
:Residential(Main)Service
0-100 amps [:!101-150amps L 151-200amps J amps #of Meters
`'Commercial(Main)Service
• 710-100 amps i 101-150amps --151-200amps -1 amps ICT Service amps
Conductor Type Size
El Multi-Family(Main)Service
J0-100 amps x,101-150amps 1-_.151-200amps amps #of Unit Meters
Cmporary Pole ❑ 3b amps
SERVICE UPGRADE _ amps =- CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps .1150amps J200amps :.. amps LCT 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 1 Sign L Smoke Detectors_Qty LI Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can LiSafety Inspection 7,Panel Change CiOH 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. p
Property Owners Name ply[- 6vo 7-748-PS_ Phone Number
Electrical Company M '60 Pl o_M E C cT/L!G Office Phone 3SZ -9173 Fax 786-/9 B Y
Co. Address: 31/// tAr - 6 V-' Si . City J State Zip 3zZSZ1
License Holder(Print): ( te7 3 ri A"- State Certification/Registration# b2009 1"79 V
No or' i y / - e , , •r ,degie 4. '‘*-4.:...
.P.,. ...."-.-s=Y CHRIS M.THOMAS S S . .m and subscribed before me this 2 r. day of 5cfli�,�- 20 Il-
1 Notary Public-State of Florida
N: ir, My Comm.Expires Nov 12.20
'�", Commission # EE 144025 '� afore of Notary Public �� ,1,�