1696 ATLANTIC BEACH DR TEMP POLE NEW SERVICE Z'�5'j�r-)' '.
CITY OF ATLANTIC BEACH
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-2323
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW SERVICE 200 AMPS, 240 VOLTS
Estimated Value:
Issue Date: 10/2/2015
Expiration Date: 3/30/2016
PROPERTY ADDRESS:
Address: 1696 ATLANTIC BEACH 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
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 I !D- C-,LC:C- -23 7,3
JOB ADDRESS: 1t0940 r1i 1,0�C, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7-uO AMPS —7-q() VOLTS PHASE
VALUEOFWORK$
NEW SERVICE 0 Overhead Underground Underground up Pole
E-Residential(Main)Service
amps of Meters
0-100 amps 1_101-150amps )KI 51-200amps
,Commercial(Main) Service -__151 s FCT Service_amps
7io-100 amps .101-150amps -200amps amp
Conductor Type Size
-Multi-Family(Main)Service amps of Unit Meters
151-200amps
__jO-100 amps 101-150amps
Temporary Pole �-j_amps
CT Service amps
SERVICE UPGRADE amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
pS 7-1 .1 "1 amps LCT Service amps
100 am -.150amps _200amps
ADDITIONS,RE MODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ?3 0-30amps 31-100amps 101-200amps
Appliances: __y 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 2 0-60amps 61-100amps
Heat Circuits: 7- # circuits @ 5- kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJE S
.-!SwimmingPool --i Sign 7smoke Detectors_��Qty �-!Transfbrmers KVA F_ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S__.
Qty_volts/amps
REPAIRS/MISCELLANEOUS i--,Safety Inspection -]Panel Change F]OH to UG
7 Replace BurrittDamaged Meter Can E
Other:
nths. I hereby certify that I have
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six mo
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. nc 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 ero L4, Phone Number
2
Electrical Company _( L)—dr-1 id Eucrlzl� Office Phone 96-f Y'7 3 F a x_
Co.Address: 32,t &Ct%/.A/ S_1_- city M11 State A�_zip
License Holder(Print): Lay.-, (? irA, b,6- State Certification/Registration# kR-CCO 0"
V <
No d,�ignatu 0 icene jf r
ai
0
H
9f me this day of 0 c Iv6, 20_1 �
CtiRIS M.THOMAS S orn and subscribed before
tate oi Florid�a
Notary Public -S
'0
My Comm.Expires Nov 12,2091 a e of Notary Public
0
4 25
Commission # EE 1440251
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-SB14
JOB INFORMATION:
Job ID: 15-ELEC-2321
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 10/2/2015
Expiration Date: 3/30/2016
PROPERTY ADDRESS:
Address: 1696 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION: C
Name: MCDONALD ELECTRI RY BRIAN CARTER
Address: 6915 WEST BEAVER ST QA LAR
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 1 S- CLGC- Z3 7-
JOB ADDRESS: /041 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 5D AMPS Z'�O VOLTS PHASE
VALUE OF WORK$
NEW SERVICE El Overhead ED Underground Underground up Pole
Residential(Main) Service
0-100 amps 1 10 1-1 50amps 151-200amps -amps #of Meters
' !Commercial(Main) Service
iO-100 amps -101-150amps 151-200amps amps FCT Service amps
Conductor Type Size
�_Multi-Family(main)Service
0-100 amps ---101-150amps 151-200amps amps #of Unit Meters
.kTemporary Pole :1__5 0 amps
SERVICE UPGRADE 7 amps F-] CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
i--,1100amps '-1200amps _1 amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 3 1-1 00amps 10 1-200amps
Appliances: 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS hp
I-;Swimming Pool -1 Sign �-Smoke Detectors_Qty -jTransformers KVA JMotors
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
7 Replace Bumt/Damaged Meter Can -.Safety Inspection ---"Panel Change F1011 to UG
7`0ther:
certify that I have
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby
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 -Fo Phone Number
Electrical Company �4(-Jo rt&Jc/ 6�&Pe Office Phone Fax. _7194`1"V
Co. Address: I C,.,'- 16t CA/A-1 City 111-V State 1'�i- Zip 32?-S'/
License Holder(Print): b9_11-7j- State Certification/Registration# L-7Z CM 129
No riged-Sigma Z
CHRIS N1 THOMAS this dayof nc- Ut, 2041—
Notary Public -state of Flon.. rn and subscribed before me
My Comm. Expires Nov 12,20�5
Commission # EE 144025al ature of Notary Public