1668 Maritime Oak Dr - Temp Pole � CITY OF ATLANTIC BEACH
7 1 h. ;" 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
JS1>r'
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -46
Job Type: ELECTRIC ONLY
Description: TEMP POLE
Estimated Value:
Issue Date: 1/7/2016
Expiration Date: 7/5/2016
PROPERTY ADDRESS:
Address: 1668 MARITIME OAK 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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
t6 ELECTRICAL 1 KICAL r SRMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 t d ��� T
Ph (904) 247 -5826 Fax (904) 247 -5845
OB ADDRESS: /1068 Mo✓, ► /K." D t`s �% PERMIT # ( S - S K
R - 2- 62 le
EA INFORMATION REQUIRED ON ALL PERMITS 2 00 AMPS 7-4 VOLTS ' / PHASE
VALUE OF WORKS - J
'ELI SERVICE n Overhead Underground QT Underground up Pole
LiResidential (Main) Service
70-100 amps I_ i 101- 150amps .451- 200amps __ amps # of Meters
Lj Commercial (Main) Service
710-100 amps 7101- 150amps " :151- 200amps amps 17 CT Service amps
Conductor Type Size
Multi- Family (Main) Service
_ 0 -100 amps _ 101- 150amps 2151-200amps 11 amps # of Unit Meters
Temporary Pole a 30 amps
Eli RICE UPGRADE = amps P. CT Service amps
TEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
=100 amps 150amps J200amps amps L CT Service amps
DDIT1ONS, REMODELS, REPAIRS, BUILD - OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 0 - 30amps 31- 100amps 101- 200amps
Appliances: _ • _0- 30amps 31- 100amps 101- 200amps
A/C Circuits: _ , _ 0 - 60amps _ _ _ 61 100amps
Heat Circuits: ' _ # circuits C___ , kw
Number of Lighting Out.;ets, Including Fixtures: __ . _
r T I ER ELECTRICAL PROJF"T3
_!Swimming Pool Sign ''smoke Detector , qty iTransformers KVA = hp
i ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
EPAIRS/NIISCELLANEOUS
_-Replace Burnt/Damaged Meter Can 21 Safety Inspection -'Panel Change [±0H to UG
:1'.Other:
ennit 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
:ad 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
pecified 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
onstruction.
'roperty Owners Name 7 x-c evon -k r Phone Number
:lectrical Company / 1 4 LI) c w c - - - 6 - / -'
• O f f i c e Phone 3 Fax 7 ' Q /
lo. Address: 32- i i w. 6'^i_..- City J State ( Zip 32 2 s't -/
Acense Holder (Print): (,A4.1, / . r State Certification/Registration # 1.-- 000 !75 y
notarized Si nat ur e i fice mo lder - �! :,1 CHRIS THOMAS •• ' � `" Sworn and s ubscribed before me this S r' da of _) ._ - , 20 1 L ?° A `Qs Notary Publi State of Fl orida y ?� 1. 'a' Commissi # FF 943955
=; - My Comm. Exres Dec 15, 2019 Signature of Notary Public - 71 _
-, • 48 P B through ational Notary Assn.