1668 Maritime Oak Dr - Elec New Underground Service `''s, 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: 16- ELEC -38
Job Type: ELECTRIC ONLY
Description: NEW UNDERGROUND SERVICE - 200 AMPS, 240 VOLTS
Estimated Value:
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 1668 MARITIME OAK 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 . E L E C -- 3 E
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: %o6 3 Mew, ,, t/ : - l ✓ ' ' •. # (5- SK R ^ 2-6
•
JEA INFORMATION REQUIRED ON ' A PERMITS Z 00 AMPS Z`Id VOLTS ' / ' i • E
VALUE OF WORK $ 7geo
NEW SERVICE ❑ Overhead ErUnderground DJ Underground up Pole
EResidential (Main) Service
20-100 amps 1.:!101 -15 tamps X51- 200amps amps # of Mete
ri Commercial (Main) Service
10 -100 amps F101-150.1 ps "_ 151 200amps amps 7 T Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -110. •ps - 1 ± 1- 150amps =1 1- 200amps =I amps # of Unit Meters
LTem' , rr ' , • .4. A G ::. , amps
SERVICE UPGRADE amps C CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps 771150amps 2200amps amps L CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD- 1 UTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 1 k,' 0- 30amps i 31- 100amps 101- 200amps
Appliances: it tl 0- 30amps 1 31- 100amps 101- 200amps
A/C Circuits: 1 1104 0- 60amps 1 *- 61- 100amps
Heat Circuits: A' # circuits @ '1 kw
Number of Lighting fi utlets, Including Fixtui=- : f, ' ,JL
OTHER ELECTRIC ' i ' ' OJE TS
:J Swimming Pool i ign "• , •k- 11 - - cto ' • LIT : sformers KVA lMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can LSafety Inspection Panel Change EOH to UG
LOther:
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 ( AA_ dvOri- "S Phone Number
Electrical Company / f) d ti ei , ,r'n < / Office Phone " ' Y 7 3 Fax 7e 40 . / 4 6 `-/
Co. Address: 32 i ( w . 6e w � City J / ' State f Zip 32 2-s'`''
License Holder (Print): Co=✓✓r ,g . " 'r State Certification/Registration # I2 0 00 / y
Notarized Si ature o License Holder / / > �,�
Notary Public -State of Florida 5.-+=
� P CHRISM THOMAS
.�� �,.�� � ` .►� �; 20 (o
Sworn and subscribed before me this day of T µ r r
•
s • c Commission FF 943955 ,
�� �� My Comm. Expires Dec 15. 2019 Signature of Not ary Public C /L
"'RlJ t"• Bonded through National Notary Assn