1945 Mayport Rd service upgrade CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J 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-2885
Job Type: ELECTRIC ONLY
Description: SERVICE UPGRADE 100 TO 200 AMP
Estimated Value:
Issue Date: 12/14/2015
Expiration Date: 6/11/2016
PROPERTY ADDRESS:
Address: 1945 MAYPORT RD
RE Number: 172195-0000
PROPERTY OWNER:
Name: DORSEY, PATTY L
Address: 1945 MAYPORT RD
GENERAL CONTRACTOR INFORMATION:
Name: MCCLURE ELECTRICAL CONTRACTORS
Address: 537 N 5TH AVE QA ROBERT MCCLURE, JR
Phone: 904-237-4701
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: fy\,AT Po 0--r It'n PrP PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS jC0 AMPS Z+tD VOLTS _ PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps [I CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 1110 1-15 Oamps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps ps
SERVICE UPGRADE C� 200 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps []_amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-l 00amps 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 ❑Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
El Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑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. n 1
Property Owners Name 1' /'r.yk, Phone Number
Electrical Company � C(— ,ti e `l t �-L c/s. I Office Phone 2�1 —+1 a 1 Fax
Co.Address: % S Z t V-e A-o City 'SIState VL Zip '%t-3+—
License Holder(Print): Y'I.-CCA-1146 CL 0-y2 State Certifi istration#
Notaridy ?eg
ro1�r oa^ Notary Public State of Florida
Shirley L Graham Be re me this of 0
My Commission FF 086990
Expires 02/14/2018
ature of Notary Public