1704 MARITIME OAK DR - ELECTRIC - r\.r`l .
' ' `` S, CITY OF ATLANTIC BEACH
'k. f 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-1019
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMPS 240
Estimated Value:
Issue Date: 5/3/2016
Expiration Date: 10/30/2016
PROPERTY ADDRESS:
Address: 1704 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
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
New Single Family Electrical $70.00
Total Payments: $129.00
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
Ph(904)247-5826 Fax(904) 247-5845
JOB ADDRESS: r)0"4 ?410 i r -i r , 06hc ,D'• PERMIT# 16-562-S79
JEA INFORMATION REQUIRED ON ALL PERMITS Z°6 AMPS 2`{() VOLTS / PHASE
VALUE OF WORK S -7, 000
NEW SERVICE ❑ Overhead Underground nJ Underground up Pole
Residential(Main)Service
--':0-100 amps -101-150amps .1-200amps _ 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 101-150amps 151-200amps 1 amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ' ;150amps 200amps amps _-ACT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 6e. 0-30amps 31-100amps 101-200amps
Appliances: C 0-30amps 31-100amps 101-200amps
A/C Circuits: ( 0-60amps 61-100amps
Heat Circuits: t # circuits @ /0 kw
Number of Lighting Outlets, Including Fixtures: S-
OTHER ELECTRICAL PROJECTS
I Swimming Pool ! Sign Smoke Detectors_Qty Transformers KVA _Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
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. 2
Property Owners Name /'!t edi /- /A1S Phone Number
Electrical Company /14 L&P 'J -cii '( Office Phone - —CY/3 Fax It%'i4ha/
Co.Address: 72t l w- et../ • .0-• City J State -' Zip 32 7.31/
License Holder(Print): ,4,'' ( State Certification/Registration# 00 / V
Nb cHRis *Cnj der �. rd
:•� �.1 Notary Public-State of Florida iworn and subscribed before me this ,3-- day of �7 20 1
• Commission # F 943955
I ,,''' a,''d• My
Bonded Expires Dec 15,2019 '
Notary Assn. jignature of Notary Public cx,:,./.._...__.......
•