1853 ATLANTIC BEACH DR - ELECTRIC 0 -vlrJr,
SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
:/-J331
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1021
Job Type: ELECTRIC ONLY
Description: NEW SERVICE 200 AMP 5 SMK DET
Estimated Value:
Issue Date: 5/3/2016
Expiration Date: 10/30/2016
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: $139.00
PERMIT IS APPROVED ONLY IN ACCORDANCE: Wrrll ALI, CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: /853 / 'Pt 47 &kcil PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 000 AMPS ZtlU VOLTS / PHASE
VALUE OF WORK$ 7, 000. Oct
NEW SERVICE ❑ Overhead [Underground 171 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 r 151-200amps amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1150amps 200amps amps _ACT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 6 0-30amps 31-100amps 101-200amps
Appliances: !0 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: / # circuits @ kw _
Number of Lighting Outlets, Including Fixtures: Y S
OTHER ELECTRICAL PROJECTS
Swimming Pool I Sign S-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 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 of t. #6✓d trt.1' Phone Number
Electrical Company (80.k.ia i Cnz// Office Phone 551P'5\/03 Fax 786'/4 d Y
Co.Address: 32./! w. ,-. City JA4 State P- Zip 2 ZS/
License Holder(Print): L&'✓r 8 ( State Certification/Registration# ee-OCO )'7y
Notarized Si nature License Ider -
,, l tiRIS M. THOMAS pJ)
Notary Public-State of Florida Sworn and subscribed before me this 3-� day of (�ry 20 lc,
• •i Commission N FF 943955
My Comm.Expires Dec 15.2019 Signature of Notary Public i
°`.;_d'• Bonded through National Notary Assn.