2349 Seminole Reach Ct - New Underground Service ,� '` \s CITY OF ATLANTIC BEACH
i " \ 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 -44
Job Type: ELECTRIC ONLY
Description: NEW UNDERGROUND SERVICE - 200 AMPS, 240 VOLTS
Estimated Value: $7,000.00
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 2349 SEMINOLE REACH CT
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 1 6 _ EL(; L , 44
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: 2 �` e,nn r nt 0 O rL.-P C;-A-- PERMIT # 15 -5 F12 '2 8 50
JEA INFORMATION REQUIRED ON ALL PERMITS z AMPS Z`{ U VOLTS ✓ PHASE
VALUE OF WORK $ - 1°°°
NEW SERVICE U Overhead P1 Underground TJ Underground up Pole
Residential (Main) Service
10 - 100 amps x.:101 150amps _: 51 200amps 1 amps # of Meters
❑Commercial (Main) Service
1 0 -100 amps : 101- 150amps 1151- 200amps 0 amps - CT Service amps
Conductor Type Size
:Multi- Family (Main) Service
_20 - 100 amps -101 150amps _1 151 200amps El amps # of Unit Meters
Temporary Pole 1 amps
SERVICE UPGRADE -: amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps r J 150amps _' 200amps amps _ CT Service amps
ADDITIONS, REMODELS, RE ' • t' S, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches i( 0-30. mps 31- 100amps 101- 200amps
Appliances: S 0-311 nips 31 -101. cps 101- 200amps
A/C Circuits: i 0- 60.mps AI, 61 - 111. •ps
Heat Circuits: # ci cuits a kw
Number of Lighti : outlets, Inc udin: ixtur; s:
OTHER ELECTRICAL PROJECTS
_'Swimming Pool Sign Smoky D etectors - 'sty __'Transformers KVA " Motors hp
FIRE ALARM SYSTEM (Requires 3 se • of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
;Replace Burnt/Damaged Meter Can Safety Inspection Panel Change COH to UG
C' 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
Electrical ` `' � ''rOi " " �� Phone Number
Electrical Company A/t `6ti -- r,� -�l/ e criz{ c- Office Phone ° - q y - 7 ? Fax
Co. Address: 3Z/1 !N- &w-" el . City State Zip 5'22
License Holder (Print): 6ktir C -- . State Certification/Registration # vex) / V
Notarized Signature of License Holder
,4;0'4'4„ CHRISM THOMAS worn and subscribed before me this 7'= day of 75(-, � - 1 2016
ijP o Notary Public - State of Florida
• Commission 8 ff 943955 Signature of Notary Public �� • — ,
oc My Comm. Expires Dec 15 2019
O i∎ ` Bonded through National Notary Assr