1691 Atlantic Beach Dr - New Underground Service (--
`` " 's CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\91111 - ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\!_ Wr
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -40
Job Type: ELECTRIC ONLY
Description: NEW UNDERGROUND SERVICE - 200 AMP. , 240 VOLT
Estimated Value: $8,000.00
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 1691 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 1(a - EL E•e-. - 4 0
JOB ADDRESS: /log/ F.sl AL ,x4 -a-/' i) PERMIT # t S - Cf I-" — 2- 4 7 Z
JEA INFORMATION REQUIRED ON ALL PERMITS Z-W AMPS 1' VOLTS / PHASE
VALUE OF WORK $ Si, Od0
NEW SERVICE ❑ Overhead (Underground ❑T Underground up Pole
DResidential (Main) Service
70 -100 amps ;:101- 150amps 1 - 200amps amps # of Meters
`_? Commercial (Main) Service
710 -100 amps r 101- 150amps 7151- 200amps 7 amps E CT Service amps
Conductor Type Size
'=Multi- Family (Main) Se : ce
0 -100 amps =10 •0. . E 151- 200amps 7i amps # of Unit Meters
+ETempor. Pr • , r • ps
Nur
SERVICE UPGRADE amps L- CT Service amps
NEW FEEDER (ADDITIONS, ACCE: SORY STRUCTURES, ETC.)
100 amps = :15 l amps .:'200amps amps LL CT Service amps
ADDITIONS, REMOD LS, ' . ' AIRS, B 11 D -OUT ACCESSOR . STRUCTURES, ETC.
Outlets /Switches: 0 30amps 3 - 100amps 101- 200amps
Appliances: I- 30am•s 3 - 100am•. 101- 200amps
A/C Circuits: r 0 60a , ps 6 -100a ' .s
Heat Circuits: V . cir uits t
Number of Lighti g r►utlets, In. uding i ures:
OTHER ELECTRICAL PROJECTS
_Swimming Pool ` Sign A moke Detectors (p Qty iTransformers KVA [IMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/NIISCELLANEOUS
Replace Burnt/Damaged Meter Can _Safety Inspection JPanel Change EOH 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.
Property Owners Name 7btL ,2,ro fkv S Phone Number
Electrical Company Mt-ct t h 1 Et- c Office Phone 'SS -iii -f Fax 7f34 "" &V
Co. Address: / tiv . gca • -,-- c City J►' State rt Zip 3 s
License Holder (Print): ovv t �P v State Certification/Registration # E2 0001 - 29'-f
o
Notarized Signature License Holder ! r _i, ±�-
, ,4 P,, CHRIS M. THOMAS / ill ��
Commission 8 FF 943955
Notary Public State of Florida Sworn and subscribed before me this ¶— day of - 1,,,, - - 20 Ito
i
pons, ; My Comm. Expires Dec t 5, 2ot9 Signature of Notary Public - .
0 , ' '° ' ' d ' Bonded through National Notary Assn. 0 /