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1853 ATLANTIC BEACH DR TEMP POLE- NEW SERVICE ; � s CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD vj 2,,,,,,...,.._ A ` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814 \ rJ31 >r ELECTRICAL PERMIT MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814 JOB INFORMATION: Job ID: 16 -ELEC -663 Job Type: ELECTRIC ONLY Description: TEMP POLE 30 AMPS Estimated Value: Issue Date: 3/18/2016 Expiration Date: 9/14/2016 PROPERTY ADDRESS: Address: 1853 ATLANTIC BEACH DR RE Number: None 1 GENERAL CONTRACTOR INFORMATION: Name: MCDONALD ELECTRIC Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER Phone: - - FEES: Trade Permit Base Fee $55.00 Temporary Electrical Service $35.00 State Elec DCA Surcharge $2.00 State Elec DBPR Surcharge $2.00 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 ( t// . (0 3 CITY OF ATLANTIC BEACH lQ , L v 80 0 Seminole Rd, Atlantic Beach, FL 32233 f 6\ C� Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / 0(3 IORwY t c,. 4c 'L be PERMIT # /6•SF,2- 7(o JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK $ /00.00 NEW SERVICE ❑ Overhead 1 I Underground nl Underground up Pole -Residential (Main) Service 0 -100 amps 1101- 150amps 1 151- 200amps amps # of Meters Commercial (Main) Service 0 -100 amps 101- 150amps 151- 200amps amps CT Service amps Conductor Type Size Multi- Family (Main) Service 0 -100 amps H :101- 150amps -1151- 200amps 1 amps # of Unit Meters 'T'emporary Pole 30 amps SERVICE UPGRADE i amps 11 CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 100 amps I_[ 150amps 200amps 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 f Sign [Smoke Detectors Qty 1 'Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can 1 [Safety Inspection : Panel Change 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 goveming 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 Phone Number Electrical Company ( 60,"G (el £ 6_ c re-/ t Office Phone Fax Co. Address: 324 1 w . �6.,44, C -. City Jv State Zip 3Z2-Y License Holder (Print): rJ Q � ' /ir, ' r State Certification/Registration # G 000/7/ c-/ Notarized Si a ur is n e der �,a�� CHRIS M. THOMAS f o ,�k c .. N Public - State of Florida worn and subscribed before me this ■ 0 - " day of M G,4 I1 201 Commission # FF 943955 Y � e'= My Comm. Expires Dec 15, 2019 ignature of Notary Public ` r .' , r`„' `, Bonded through National Notary Assn _$r \Ji , r ✓r �° '"'" ` ‘ CITY OF ATLANTIC BEACH """ '' 800 SEMINOLE ROAD �� - `=�" 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 -668 Job Type: ELECTRIC ONLY Description: NEW SERVICE 200 AMPS Estimated Value: Issue Date: 3/18/2016 Expiration Date: 9/14/2016 PROPERTY ADDRESS: Address: 1853 ATLANTIC BEACH DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MCDONALD ELECTRIC Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER Phone: - - FEES: Wired Smoke Detectors $10.00 Trade Permit Base Fee $55.00 State Elec DCA Surcharge $2.00 State Elec DBPR Surcharge $2.00 New Single Family Electrical $70.00 Total Payments: $139.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION pri I € C - & e' CITY OF ATLANTIC BEACH c 7� 800 Seminole Rd, Atlantic Beach, FL 32233 0 1(P 5 � <J Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: /8c3 /04 /6 At It c PERMIT # /(o -Srg -^ 710 JEA INFORMATION REQUIRED ON ALL PERMITS ZUV AMPS Z` VOLTS / PHASE VALUE OF WORK$ 7, 000 NEW SERVICE n Overhead Underground 1 1J Underground up Pole Residential (Main) Service 0 -100 amps 101- 150amps •51- 200amps amps # of Meters Commercial (Main) Service • 0 -100 amps 101- 150amps L'151-200amps -1 amps i CT Service amps Conductor Type Size Multi- Family (Main) Service 0 -100 amps 101- 150amps 151- 200amps L amps # of Unit Meters Temporary Pole amps SERVICE UPGRADE I amps CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 100 amps IL 150amps 200amps amps 'CT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: (08 0- 30amps 31- 100amps 101- 200amps Appliances: 5 — 0- 30amps 31- 100amps 101- 200amps A/C Circuits: / 0- 60amps 61- 100amps Heat Circuits: / # circuits @ /b kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS _ _ l Swimming Pool [_ Sign r-+ -moke Detectors _Qty [Transformers KVA Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts /amps VALUE OF WORK $ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can l Safety Inspection Panel Change 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 Phone Number Electrical Company Mt 60t'c '( 0 Office Phone Fax Co. Address: 32! I (N . &a/-4./ City J•9 State n- Zip 327M License Holder (Print): '/ . /5' (� 'e�`' State Certification/Registration # ° -.4-- °° / 5 V • 1 r t • r • , , ' L .. • QQ 1 lder '• !J • =0 4 ., Notar Public • State of Florida �� �� Sworn and subscribed before me this 11 day of IV14.i 1..... 20 I (, y � Commission # FF 943955 .�/ ,' O ' ''' Bonded through National Notary Assn. Sign of Notary Public a /��'