2349 Seminole Reach Ct - Temp Pole ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 16- • - --7 4
JOB ADDRESS: 2 3`(9 5(,m ,AL(, eee,-t, 6,14... PERMIT# /S-S - ZBSd
JEA INFORMATION REQUIRED ON ALL PERMITS'3 O AMPS Z�f U VOLTS S 1 n��� PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground 13 Underground up Pole
:Residential(Main)Service
-:0-100 amps 101-150amps 2151-200amps amps #of Meters
Commercial(Main)Service
-10-100 amps 151 200amps amps CT Service amps
Conductor Type Size
=Multi-Family(Main)Service
4Q-100 amps _101-150amps =:151-200amps amps #of Unit Meters
:temporary Pole 2 30 amps
SERVICE UPGRADE amps -- CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
2100 amps 2 l50amps l200amps amps '_CT Service amps
ADDITIONS,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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
_Swimming Pool Sign _Smoke Detectors Qty _!Transformers KVA .Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
_-Replace Burnt/Damaged Meter Can Safety Inspection -,Panel Change 2 OH 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 Jai LA-,S r c-4., ii /►-.i f Phone Number
Electrical Company /IA((r)a n-c-/c r ( t O f f i c e Phone -3-10" 4'`,--7--' ' Fax 7 8(e-/9, `/
Co.Address: 3Z r / tw• citi Si • City Jrc-( State r2 Zip 3Z 2 s /
License Holder(Print): &-6ey #' C State Certification/Registration# 1 ' 7q V
Notarized Signature of License Holder & r;61115-----
AA.%; CHRISM THt,MAS !Worn and subscribed before me this II L` day of . 20 lc
41:1 Notary Public •Ste of Florida r Commission 01;F 943955 �ignature of Notary Public t
� My Comm.Expires Dec 15.2019 _ii- ii- A._ _
1 a:un�` Oondad lMduQb N a t 1 In ar NM an 4sso
` '`� "S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
4 01i1 c - )r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16- ELEC -74
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 1/11/2016
Expiration Date: 7/9/2016
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
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 16` e- - `7 4
JOB ADDRESS: 23'19 ' �1
�( ✓✓I I ntc.�o �r~ (, � �l . PERMIT # /S_ S F12 - E8Z
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE El Overhead ❑ Underground ❑J Underground up Pole
:Residential (Main) Service
`1'0 - 100 amps ; i 101 150amps _ 151 200amps amps # of Meters
ri Commercial (Main) Service
:10 - 100 amps T 101- 150amps 7:151- 200amps 7 amps E CT Service amps
Conductor Type Size
Multi Family (Main) Service
100 amps _ 101 150amps 1 151- 200amps amps # of Unit Meters
'Temporary Pole D 30 amps
SERVICE UPGRADE _. amps C CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
':=1100 amps 11150amps 200amps amps L CT Service amps
ADDITIONS, 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 @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
`?Swimming Pool E Sign ESmoke Detectors _ Qty LiTransformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/NIISCELLANEOUS
Replace Burnt/Damaged Meter Can -Safety Inspection riPanel Change DOH to UG
.=`.Other:
Permit becomes void if work does not commence within a six month period br 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` o€ 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 t..,w S r /4 ( f Phone Number
Electrical Company M ( 0 d 6. rA eG `t Office Phone ?SIP' �`/ - 3 Fax 78(e / 96 q
Co. Address: 32 (i '- • atiiv . City Jt 9 ( State f - Zip 32.2 S /
License Holder (Print): iz ,,' ,' 4i- State Certification/Registration # & 000 / 9 y
Notarized Signature of Holder e//F4f%
_
I ? r,149,, CHRIS M THOMAS Kworn and subscribed before me this n day of . µK,,.. 20 l t
1 ``o Notary Public - State of Florida �(
Commission FF 943955 lgnature of Notary Public �� ,7j
I
My Comm. Expiree s Dec 15. As sn
' ''F 4 ° T Assn Nationai Not sn