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592 Timber Bridge Ln - New Underground Service v v CITY OF ATLANTIC BEACH j 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 -43 Job Type: ELECTRIC ONLY Description: NEW UNDERGROUND SERVICE - 200 AMP, 240 VOLT Estimated Value: $7,500.00 Issue Date: 1/7/2016 Expiration Date: 7/5/2016 PROPERTY ADDRESS: Address: 592 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. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 I C _ GL . -4 3 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: _cc/ Z % i 5" , clI 1, ry PERMIT # 15- Sr - 2- 7 3 Y JEA INFORMATION REQUIRED ON ALL PERMITS Z vU AMPS Z VOLTS 1 PHASE VALUE OF WORK g, NEW SERVICE ❑ Overhead [Underground ❑T Underground up Pole El:Residential (Main) Service 10 - 100 amps [1 101 150amps E 151 200amps amps # of Meters Commercial (Main) Service :10 - 100 amps FT 101- 150amps 72151- 200amps -, amps E CT Service amps Conductor Type Size Multi Family (Main) Service J0 - 100 amps E 101 150 amp s _ 151 200amps amps # of Unit Meters _ Temporary Pole D amps SERVICE UPGRADE amps it CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) Ea 100 amps 71150amps 200amps amps L CT Service amps ADDITIONS, REMODE AREPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: 0 " 0- Oamps 31- 100amps 101- 200amps Appliances: IlE $- Oamps 31- 100amps 101- 200amps A/C Circuits: NO -, Oamp. i 1 -100an •s Heat Circuits: ©NI # irc is Am , w Number of Lightin: Ou' ts, I ,c1 • ing ' es: 7 OTHER ELECTRICAL ' RO • CTS II _!Swimming Pool ' Sign m> e Detectors 0 Qty ?Transformers KVA E1Motors 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 GOH 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 r `'�`� t / - � /� 'u S Phone Number Electrical Company Mioe NC-AA / t Office Phone , ?re,- Fax Co. Address: 32,c r 0..i._ 6e w - City J,c+,c State R Zip 722 S`/ License Holder (Print): L'"V C State Certification/Registration # C: -cxx� r7 9c/ Notar Signature of License Holder — / - 5114 � / �• . — -- ti V P!,I,, CHRIS M. THOMAS Sworn and subscribed before me this 5 day of :1,..., 20 I ; i r% Notary Public - State of Florida I t - Commission E Expir es a s Dec FF 943955 l5 2 019 Signature of Not Public .. d:- My Comm. xpie t5. 2 � � ��� .' I'1'' Bonded through National Notary Assn r� H s� 800 Seminole Road . j Atlantic Beach,Florida 32233 r Telephone(904)247-5800 FAX(904)247-5845 Jill REVISION REQUEST SHEET Date: 011 /4 Received by: Resubmitted: Permitm er: 11.- !fee— 413 Original Plans Examiner: Project Name: Project Address: 597l�hE — Contractor: 'y Contact Name: Contact Phone : • Contact e-mail: Revision/Plan Check/Permit Fee(s)Due: $ ;-- Description of Proposed Revision to Existing Permit: 1j MON 1 I AM1141111 11110.1r. Additional Increase in Building Value: $ Additional S.F. Site Plan Revised: Public W/U Approval: By signing below.I(print name) affi is inclusive of the proposed changes. ►that the above revision "C,DonA/i'I 446 Signature of Contractor/Agent(Contractor must sign if increase in valuation) Date Office Use Only Date: Approved: Rejected: Notified by Plan Review Comments: • Department review required Yes No Building Planning &Zoning Tree Administrator Public Works Plans Examiner Public Utilities Public Safety Fire Services Date Created 8/20/15 Rev.2