1805 ATLANTIC BEACH DR TEMP POLE NEW SERVICE CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2511
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value: $100.00
Issue Date: 10/22/2015
Expiration Date: 4/19/2016
PROPERTY ADDRESS:
Address: 1805 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
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 PERrvnT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 S - fL6C-Z 51
JOB ADDRESS: Pio-L xWt4G' -75� A A., PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS 7-"(0 VOLTS PHASE
VALUEOF WORKS I00 - IJO
NEW SERVICE El Overhead E3"Underground [D Underground up Pole
EResidential(Main)Service
0-100 amps P101-150amps 151-200amps �_l amps #of Meters
-Commercial(Main)Service
7j 0-100 amps 1-101-150amps 151-200amps Dl amps FiCT Service amps
Conductor Type Size
(Main)Service
_�P-100 amps 101-150amps 151-200amps El amps #of Unit Meters
CwTemporary Pole E!__30 amps
CT Service
SERVICE UPGRADE amps amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1_1100amps `150amps �1200amps amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 6 1-1 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
' !SwimmingPool - Sign I 'Smoke Detectors KVA Motors hp
11 12 _Qty �_l Transformers
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORN S
REPAIRSAMSCELLANEOUS
Burnt/Damaged Meter Can Safety Inspection Panel Change 17]OH to UG
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 Phone Number
Electrical Company OfficePhone 55LJY?� Fax -786'1*8V
Co.Address: 3 Z_0 (,-j 15Ae,.4,1 city State Ft-- Zip 5'02-fl/
License Holder(Print): State Certification/Registration# 0 00
Notarized Signature Of License Holder
U
CHRIS M.THO3MASS m and subscribed before me this Ji!L day of 0C U 201j�_
om aI
tate of Florida
Notary Public State of
v 1 2,2 0 atur
My Comm.Expires Nov 12,20 e of Notary Public
Commission # EE 144025
Ij
- ----- CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2510
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 300 AMPS
Estimated Value:
Issue Date: 10/22/2015
Expiration Date: 4/19/2016
PROPERTY ADDRESS:
Address: 1805 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 $90.00
Trade Permit Base Fee $55.00
Total Payments: $149.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OFATLANTIC 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
JOB ADDRESS: PERMIT# IT- SF12 ?-ZZY
JEA INFORMATION REQUIRED ON ALL PERMITS 300 Aws V42 VOLTS PHASE
VALUE OF WORK S
NEW SERVICE El Overhead Eg"-Underground EDUnderground up Pole
!.-Residential(Main)Service
151-200amps
0-100 amps P101-150amps amps #of Meters
'L]Commercial(Main)Service
-10-100 amps 17101-150amps -200amps amps r CT Service amps
Conductor Type Size
1-Multi-Family(Main)Service
_�0-100 amps E'101-150amps 7151-200amps
amps #of Unit Meters
E-Temporary Pole 7j______amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
:_1 100 amps 71150amps amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 117 0-30amps 31-100amps 101-200amps
Appliances: q— 0-30amps 3 1-1 00amps 10 1-200amps
A/C Circuits: 7- 0-60amps 6 1-1 00amps
Heat Circuits: Z- # circuits @ 5_ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool --, Sign L4moke Detectors_j_Qty *_1 Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRSMSCELLANEOUS
L-Replace Burnt/Damaged Meter Can Safety Inspection .7]Panel Change f]OH to UG
i_-�Other:
Permit becomes void if work does not commence within a six month period or work is suspendedorabandonedforsixmonths. 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 '7-0L'L 9,-0T7-/-tr5 Phone Number
Electrical Company to 0"j�C/ elt cyXI&_ OfficePhone ?57o-qy_2_3_Fa_x_
Co.Address: J�(/ CA/, Ae a,-/-V city j e-))c State_�_zip
License Holder(Print): '�A'- 49 State Certification/Registration# Ec- 00017qV
Nofatiztd�Vignature of License Holder AO,
Olen an
CHRIS M.THOMAS S t d subscribed before me this JD'L' day of 0 C i,-*b, 20JL
Notary Public-State of Florida.
jl�
MY COMM.Expires Nov 12,2010? e of Notary Public
Commission # EE 144025J