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1626 MARITIME OAK TEMP POLE-NEW SERVICE � ' "` 'S f CITY OF ATLANTIC BEACH ", , 800 SEMINOLE ROAD J ..m 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 -666 Job Type: ELECTRIC ONLY Description: TEMP POLE 30 AMPS Estimated Value: Issue Date: 3/18/2016 Expiration Date: 9/14/2016 PROPERTY ADDRESS: Address: 1626 MARITIME OAK 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 ) 6 l0 N CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 W f 0 Ph (904) 247 -5826 Fax (904) 247 -5845 JOB ADDRESS: / L Z4' (14A2( T+ 0-0 O/ D v PERMIT # / 6 ' SFR '0 JEA INFORMATION REQUIRED ON ALL PERMITS 30 AMPS O VOLTS 1 PHASE VALUE OF WORK /0 NEW SERVICE ❑ Overhead n Underground I IJ Underground up Pole :Residential (Main) Service 10 -100 amps 101- 150amps -'.151- 200amps amps # of Meters - - Commercial (Main) Service 10 -100 amps 101- 150amps 151- 200amps amps ICT Service amps Conductor Type Size Multi- Family (Main) Service 100 amps ❑ 101 150amps f i 151- 200amps amps # of Unit Meters 'Temporary Pole -,; 30 amps SERVICE UPGRADE ❑ amps CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) 100 amps [ 150amps 200amps amps _1 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 I. Sign Smoke 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 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 /� t ��J (vv. G - id' t_ re C' Office Phone Fax Co. Address: 32 r I W . r-✓.(/ . City 3✓' State 6- Zip 3 License Holder (Print): / £ State Certification/Registration # • • • •• •••r _ • • i • e ,Ider „a/lire- airt Jo y p� ,,, CHRIS M. THOMAS .4 b t Notary Public - State of Florida Sworn and subscribed before me this 18 — day of (Vl t.: (.� 20 H e Commission N FF 943955 V,; My Comm. Expires Dec 15. 2019 Signature of Notary Public Bonded through National Notary Assn � f 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 -667 Job Type: ELECTRIC ONLY Description: NEW SERVICE 200 AMPS Estimated Value: Issue Date: 3/18/2016 Expiration Date: 9/14/2016 PROPERTY ADDRESS: Address: 1626 MARITIME OAK DR RE Number: None GENERAL CONTRACTOR INFORMATION: Name: MCDONALD ELECTRIC Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER Phone: - - FEES: Wired Smoke Detectors $12.00 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: $141. PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION ) ! C , 6 1 CITY OF ATLANTIC BEACH ( 800 Seminole Rd, Atlantic Beach, FL 32233 . r (it) S� Ph (904) 247 -5826 Fax (904) 247 - 5845 /� JOB ADDRESS: / & Z6' MA✓s nAt OAK- di ,- PERMIT # 16, - S r-re - 27/ JEA INFORMATION REQUIRED ON ALL PERMITS Zov AMPS Z'U VOLTS / PHASE V A L U E O F WORK$ G, SWO, Oo NEW SERVICE ❑ Overhead [Underground ❑J Underground up Pole ❑Residential (Main) Service 0 0 -100 amps ❑ 101- 150amps CMS 1- 200amps ❑ amps # of Meters ❑Commercial (Main) Service D O -100 amps ❑ 101- 150amps ❑ 151- 200amps Ci amps DCT Service amps Conductor Type Size ❑Multi- Family (Main) Service 0 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 0 200amps D amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets /Switches: ((2 0- 30amps 31- 100amps 101- 200amps Appliances: '/ 0- 30amps 31- 100amps 101- 200amps A/C Circuits: Z 0- 60amps 61- 100amps Heat Circuits: 2 # circuits @ 5 kw Number of Lighting Outlets, Including Fixtures: 1 /2- OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign C3'S Detectors to Qty CTransformers 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 ❑ 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 /V t 8o •/1 ua-c T2r i Office Phone Fax Co. Address: 34 /i2 C / (/ W • Aeat ✓a/ (- City J' State 6- Zip J ZZrl License Holder (Print): J - State Certification/Registration # Et-000 i7 Notarized Signature of License Holder / ,�a� c kis M 1HUMa � - Sw orn and subscribed before me this / / �i: day of N14� 20I( ' :° 1 `� Notary Public - State of Hui Ass C � - Commission e FF 943955 Si gnature of Notary Public -y, �� A. My Comm. Expires Dec 15, 2019 / ' O`.� Bonded through National Notary Assn. i