1757 Atlantic Beach Dr - New Underground Service i 1 .-
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"' CITY OF ATLANTIC BEACH
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"" j 800 SEMINOLE ROAD
w : •5 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: 16 - ELEC -
Job Type: ELECTRIC ONLY
Description: NEW UNDERGROUND SERVICE - 200 AMPS, 240 VOLTS
Estimated Value: $8,500.00
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 1757 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
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
p,4 ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 i S ` E(—E.C. — 39
JOB ADDRESS: / - 7 S7l c,, L 6o D✓ PERMIT # 1C" s i' - 2 7 O S
JEA INFORMATION REQUIRED ON ALL PERMITS ici) AMPS 2-k) VOLTS ✓ I PHASE
VALUE OF WORK $ g0
NEW SERVICE ❑ Overhead (underground ❑1 Underground up Pole
:Residential (Main) Service
20 -100 amps C 1101- 150amps Y 1- 200amps amps # of Meters
-Commercial (Main) Service
=10 -100 amps ; :101- 150amps 7 151- 200amps J amps CCT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -100 amps - 101- 150amps _ 151- 200amps 11 amps # of Unit Meters
(Temporary Pole D' amps
SERVICE UPGRADE _ amps . CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps 150amps E200amps amps L CT Service amps
ADDITIONS, RE OD , REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switc es: 4 30 0- 30amps 31- I Oamps 101- 200amps
Appliances: (0 0 -3: am 3 -1 I Oamps 101- 200amps
A/C Circuits. 1 0 .0amp. fa 1 -1 q0am•
Heat Circuits: # circuit @ S kw
Number of Lighting • - s, Includin: Fixtur ' 7
OTHER ELECTRICAL PR t' CTS
or
.:Swimming Pool Sign `Smoke De ecto s (o Qty ? Transformers KVA ElMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Li Safety 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 taws 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 R t vy✓Sidi Phone Number
Electrical Company M ` )O Jt S 6- t ZA i Office Phone ' N Fax yep -148r/
Co. Address: 32 r, t„), /' w-✓ City J'I State Pi- Zip 3221
License Holder (Print): La✓er 4 C. State Certification/Registration #
Notarized Signature of License Holder r
,P..,, CHRIS M. THOMAS om and subscribed before me this S - day of 5,N� 20 No
., ` �: N
• • Commission # FF 94 055
%:--4,,,-=:-. My Comm. Expires Di- 701
mature of Notary Public -
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' :,, , Bonded Through N4' ,1. ■ , Assn
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