1711 MARITIME OAK DR - TEMP POLE r-L`1
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5 Jo-.
��� �5 J CITY OF ATLANTIC BEACH
_. - 2� 800 SEMINOLE ROAD
' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-423
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - TEMP POLE
Estimated Value:
Issue Date: 2/18/2016
Expiration Date: 8/16/2016
PROPERTY ADDRESS:
Address: 1711 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233 ELEC.
Ph (904)247-5826 Fax (904) 247-5845 _ _ 4 Z
TOB ADDRESS: /1// . &Witt 1-,44., 0,9K- _ )" PERMIT# !2. S 1Z-I/ L)
lEA INFORMATION REQUIRED ON ALL PERMITS 377 AMPS 7---`1-1" VOLTS ) PHASE
VALUE OF WORK$
sTEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main)Service
0-100 amps H 101-150amps 151-200amps : amps #of Meters
`';_-;Commercial(Main)Service
710-100 amps Er 101-150amps I51-200amps amps TCT Service amps
Conductor Type Size
=Multi-Family(Main)Service
_0-100 amps E 101-150amps :151-200amps 71 amps #of Unit Meters
i► i`emporary Pole D 30 amps
SERVICE UPGRADE = amps 7. CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 2150amps `:200amps _. amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3 Oamps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
1?Swimming Pool E Sign 'Smoke Detectors Qty iTransformers KVA :I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/M1SCELLANEOUS
Replace Burnt/Damaged Meter Can _Safety Inspection (Panel Change DOH 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 , <u'-t/5 fa, t',,6rv,l Phone Number
Electrical Company /V 1 `, tlr'vt-1 J C L- 1 t Office Phone .S'v-FV°'3 Fax 786-/9 9`7
Co.Address: 3u/ -''- i '--- Z-i-, City . _7--5,- State )-e----- Zip 3l�1q
License Holder(Print): i," tate Certificatiou/Registration# /�9y
Notarized Signature of License Holder An/Lt.,- '.... ' i 40,...
0,p4,,, CHRIS M THOMAS Sworn and subscribed before me this 1t7 day of Tr:6x1,4.-4 20
o i° ��`�; Notary Public -State of Honda
;� Commission FF 943955 tignature of Notary Public ��- 7l- _
' My Comm.Expires Dec 15,2019
� ,a1�d'•• Bonded through Na lonaI Notary Assn. P //