1840 ATLANTIC BEACH DR TEMP POLE-NEW SERVICE , 1
A .11
CITY OF ATLANTIC BEACH
SI\
41,
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-665
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS - REVISED TO 300 AMP
Estimated Value:
Issue Date: 3/18/2016
Expiration Date: 2/13/2017
PROPERTY ADDRESS:
Address: 1840 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
RE-INSPECTION FEE $55.00
Total Payments: $194.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
"'i\J' CITY OF ATLANTIC BEACH
800 Seminole Road
_ 1j Atlantic Beach, Florida 32233
,._ � Telephone(904)247-5800
FAX(904)247-5845
REVISION REQUEST SHEET OR
CORRECTIONS TO REVIEW COMMENT
8 Date: l ( Co Received by: ( Resubmitted:
Permit Number: do Le - (L.5
Original Plans Examiner: Project Name:
Project Address: 8340 ickftwfiG $t4pr_h
Contractor/if,/7u. iri gIE3—J1g,C Contact Name:
Contact Phone : qty., - 351a _gG(7j Contact e-mail:
Revision /Plan Check/Permit Fee (s) Due: $
Descri tion of Proposed Revision to Existing Permit:
?/- c f)r,L(E FOB ?X p 56ei)ia chprrja -tta 300 � - r
Additional Increase in Building Value: $ Additional S.F.
Site Plan Revised: Public W/U Approval:
By signing below. I (print name) affirm that the above revision
is inclusive of the proposed, • •es.
��
Signature of Contractor/Agent(contractor must sign if increase in valuation) Date
Office Use Only
!)ate: Approved: Rejected: Notified by:
Plan Review Comments:
Department review required Yes No
Building
Planning &Zoning
Tree Administrator Plans Examiner
Public Works
Public Utilities
Public Safety
Fire Services Date Created 4/13/16 Rev.3
$ !- -L\11 \
*. `S, CITY OF ATLANTIC BEACH
1 ‘' ; ) 800 SEMINOLE ROAD
J, ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
�D 119''
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -664
Job Type: ELECTRIC ONLY
Description: TEMP POLE 30 AMPS
Estimated Value:
Issue Date: 3/18/2016
Expiration Date: 9/14/2016
PROPERTY ADDRESS:
Address: 1840 ATLANTIC BEACH DR
RE Number: None
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 (( C (L C - `e ( if
CITY OF ATLANTIC BEACH f9kAf
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845 b
JOB ADDRESS: / 8 YO /7 brf fii C f et- , /� ✓ PERMIT # ib ' SFg - /SL
JEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS 2LW VOLTS ✓ PHASE
VALUE OF WORK $
NEW SERVICE ( 1 Overhead ( Underground 1 IT Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps 151- 200amps amps # of Meters
Commercial (Main) Service
10 - 100 amps 101- 150amps 151- 200amps amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0.7300 amps 101- 150amps ! 151- 200amps _! amps # of Unit Meters
'Temporary Pole 3 0 amps
SERVICE UPGRADE 1 amps 1 CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps r ' 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 L 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 I 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 ivt t /J0 - l cJ £C-C nL' t Office Phone Fax
Co. Address: 3z t f CJ . f ✓4/ 0-- City 30, State Zip 322 Sz/
License Holder Print : / �
( ) Larry f3. 1.a1'r`I-t.(r' � State Certification/Registration # L! l.cxaU / - 79 y
Notarized Signature ofLicense Holder • C
, ;, ,,,, CHRIS M. THOMAS R worn and subscribed before me this 1 �' — day of 'Y'Lft k 20
. 1 ` c, , : Notary Public - State of Florida 0
� '., Commissi FF 943955 iignature o f Notary Public ( t • $' 7
o . My Comm. Expires Dec 15, 2019 3'
1 ,,p '' '°� V i' � Bonded through National Notary Assn 0
:� - � ' � Ti CITY OF ATLANTIC BEACH
;-' r) 800 SEMINOLE ROAD
Ti 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 -665
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 3/18/2016
Expiration Date: 9/14/2016
PROPERTY ADDRESS:
Address: 1840 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 '( � ( E C — ( Q G
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 t Ci&
Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: / 9`( cu c 61c-c I' or PERMIT # /6- SF/e /-r
JEA INFORMATION REQUIRED ON ALL PERMITS Z W AMPS 2 `f 0 VOLTS / PHASE
VALUE OF WORK $ 7, 000.
NEW SERVICE 1 1 Overhead 1 "'Underground 1 v Underground up Pole
Residential (Main) Service
0 -100 amps ,101- 150amps 5.4'51- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps 1151-200amps amps -CT Service amps
Conductor Type Size
Multi- Family (Main) Service
0 -100 amps 101- 150amps i 151- 200amps i amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE :1 amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
;100 amps ' 150amps 200amps amps 1CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: 72 0- 30amps 31- 100amps 101- 200amps
Appliances: '/ 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 2 0- 60amps 61- 100amps
Heat Circuits: Z # circuits @ S' kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool 11 Sign 4-t'Smoke Detectors s Qty [PTransformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection 1Panel 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 1 ^ Phone Number
Electrical Company 0 « JONc -id G c rit < Office Phone Fax
Co. Address: 1I 324 l G•/. & GA/A & City J> State �' Zip ?2233/
License Holder (Print): L-a/VVij /6- State Certification/Registration # O0 /lit/
Notarized Signature of License Holder __,L14/,--15---
r .r,oi CHRIS M THOMAS ► Sworn and subscribed before me this 1Y- day of i1�„ t. 20 I(,
iP `o•, Notary Public - State of Florida w
' • _ Commission FF 943955 S Signature of Notary Public
•;'> A My Comm. Expires Dec 15, 2019
�'' ,°, ,,,,,, Bonded through National Notary Assn. 0