574 Timber Bridge Ln - New Underground Service r '' 0 CITY OF ATLANTIC BEACH
f
.,; 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
\5i11 >'r=
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: $7,500.00
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 574 TIMBER BRIDGE LN
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.
9 ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 16 _ E- L E C _ 4
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 5 7;n; 602 l e, 4 1_,,, . PERMIT # IS' S r le - 2 7 o
JEA INFORMATION REQUIRED ON ALL PERMITS Z X) AMPS z-` VOLTS ✓ PHASE
VALUE OF WORK S 7, MO
NEW SERVICE ❑ Overhead [Underground DJ Underground up Pole
`Residential (Main) Service
0 -100 amps 11 101- 150amps 51- 200amps amps # of Meters
Commercial (Main) Service
10 -100 amps E 101- 150amps :151- 200amps 11 amps F CT Service amps
Conductor Type Size
-Multi- Family (Main) Service
0 -100 amps =101-1; lamps _ 151- 200amps amps # of Unit Meters
Temporary P le V 30 . ps
SERVICE UPGRADE V 7 amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
2100 amps 7:150amps _200amps amps L CT Service amps
ADDITIONS, REMOL E , ' . ' AIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 2-'1 1 30am• 31- 100amps 101- 200amps
Appliances: 1113 o -30a p 31 -10 "amps 101- 200amps
A/C Circuits: E 1 60.mp A 61 -1 • lamps
Heat Circuits: E' , c' suit @ SI kw
Number of Lig sting • tlets, n ludi : F tur s:
i ,1
OTHER ELECTRICAL P , • JECTS
_1SwimmingPool Sign S moke De e tors A ''ty - ansformers KVA [ iMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can _Safety Inspection (Panel Change 2011 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 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 1 "Mc. Phone Number 3 C 3
Electrical Company M t-! 10 N c—/€/ £ _ 2r r Office Phone Al, -5V Fax 794' - /g &5'
Co. Address: 32( / w . /.ea v 5/. City J/ X State ft Zip 322.5y
License Holder (Print): I ow)/ C -- State Certification/Registration #
Notarized Signa of License Holder a „ ,-� : j. `%t,
°` 71449 m CHRISM THOMAS 1 wo and subscribed before me this S= day of Su.... �- 20 U' 4.
t P .+ , N otary Public - State of Florida
i• ,• ( y - 1
I Commission 8 FF 943955
V;,.,- I -- My Comm Expires Dec 15. 2019 Signature of Notary Public
,
''' va` Bonded through National Notar y Assn