1637 ATLANTIC BEACH DR TEMP POLE-NEW SERVICE ' ,'' <� CITY OF ATLANTIC BEACH
r '° - - 800 SEMINOLE ROAD
k .) ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5814
0131 W
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -669
Job Type: ELECTRIC ONLY
Description: TEMP POLE 30 AMPS
Estimated Value:
Issue Date: 3/18/2016
Expiration Date: 9/14/2016
PROPERTY ADDRESS:
Address: 1637 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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION tO - Li gC ' (e (Y q
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 i (L I poi
Ph (904) 247 - 5826 Fax (904) 247-5845
JOB ADDRESS: / (0 37 4116 rrtc 6ec-a, / 1 PERMIT # /(o SF-g- Z& 9
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 AMPS ZY 0 VOLTS I PHASE
VALUE OF WORK$ 7
NEW SERVICE 1 1 Overhead 1 "(Underground ( IJ Underground up Pole
Residential (Main) Service
0 -100 amps 101- 150amps i= :151- 200amps amps # of Meters
Commercial (Main) Service
0 -100 amps 101- 150amps i 151- 200amps amps CT Service amps
Conductor Type Size
Multi- Family (Main) Service
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 li 150amps 200amps amps CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets /Switches: (o Z 0- 30amps 31- 100amps 101- 200amps
Appliances: S 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: / 0- 60amps 61- 100amps
Heat Circuits: / # circuits @ /0 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool [ Sign '?'S Detectors ( Qty L I Transformers KVA 11 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 /V1 t Oo" vd � " 1 z`c- Office Phone Fax
Co. Address: 32/ r' �,.i . f' //�?.e wAP 51--, City J 4 C State n- Zip 3 ZZSf
License Holder (Print): La-»iz1. / • Al State Certification/Registration # E- 1 'c/
g(ajjzej/ Siwtrq/ulepfLkenseJI Id er
x r1 's
;,Vir : ;;, CHRIS yr M. THOMAS i %� /��/
;' = Notary Public - State of Florida Sws rn and subscribed before me this I ?— day of t \ �,� 201 L
�, Commission # FF 943955
:?,�, ` ci e My Comm. Expires Dec 15, 2019 Signature of Notary Public C� �1
'''„I's" Bonded through National Notary Assn
. S 1 ,,' -\1,11
,� ' � 'S� CITY OF ATLANTIC BEACH
f
:,, ;� 800 SEMINOLE ROAD
\ 1 } 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 -670
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS
Estimated Value:
Issue Date: 3/18/2016
Expiration Date: 9/14/2016
PROPERTY ADDRESS:
Address: 1637 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 $12.00
Trade Permit Base Fee $55.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00 1
New Single Family Electrical $70.00
Total Payments: $141.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION ��' n (; _ � �
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ,, / • rViC
Ph (904) 247 -5826 Fax (904) 247 -5845 / V i�
JOB ADDRESS: / (0 3 / ( cr/ i i 8 4 c. b Dr- PERMIT # /6-SF 2.69
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $ l W.00
NEW SERVICE ❑ Overhead n Underground (l1 Underground up Pole
Residential (Main) Service
-- '0 -100 amps 101- 150amps 1: 151- 200amps J 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 i101-150amps 1 151- 200amps amps # of Unit Meters
Tmporary Pole 30 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps JCT 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 1 Sign Smoke Detectors Qty l 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 11 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 c Phone Number
Electrical Company M t. anva--rc,/ G (t t frt i t Office Phone Fax
Co. Address: 3Z < City Jv V State Zip 32 -Z- 1 V
License Holder (Print): /4141---J p State Certification/Registration #
Notarized Signature of License Holder �-
, � CHRIS M. THOMAS Sworn and subscribed before me this I se-= day of /14,,. 20 /6
fie• . Notary Public - State of Florida
Commission # FF 943955 Signature of Notary Public -
� ,07. My Comm. Expires Dec 15, 2019
guided through National Notary Assn