1787 ATLANTIC BEACH DR NEW SERVICE / _ /
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
/ ATLANTIC BEACH, FL 32233
ate.
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247 -5814
JOB INFORMATION:
Job ID: 16 -ELEC -1062
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - NEW SERVICE
Estimated Value: $7,500.00
Issue Date: 5/6/2016
Expiration Date: 11/2/2016
PROPERTY ADDRESS:
Address: 1787 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
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 1 ( -ELEC — I 0(0Z___
JOB ADDRESS: / 7 8 7 41 fc..4 ec; 4. - c- A /)-- PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS 26 AMPS 2s6O VOLTS / PHASE
VALUE OF WORK 1
NEW SERVICE ❑ Overhead H-11nderground FIJ Underground up Pole
Residential (Main) Service
-0 -100 amps 101 150amps 200amps amps # of Meters
Commercial (Main) Service
-0 -100 amps - 101- 150amps 151- 200amps 7 amps - Service amps
Conductor Type Size
-. Multi- Family (Main) Service
-- 0 - 100 amps _ 101 150amps fl 151- 200amps J amps # of Unit Meters
_Temporary Pole n amps
SERVICE UPGRADE a amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps ' J l 50amps 1I200amps ; amps II CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 7`( 0- 30amps 31- 100amps 101- 200amps
Appliances: S 0- 30amps 31- 100amps 101- 200amps
A/C Circuits: 2- 0- 60amps 61- 100amps
Heat Circuits: - # circuits @ 5 kw � y ,
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool `1 Sign C oke Detectors (v 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 1 Safety Inspection 7 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 1 - 6va %f Phone Number
Electrical Company /i4 `oor,JoJC ge- wie Office Phone 3S2O'l'r �3 Fax 786'1
Co. Address: 32' 4-'- /ate .! ppp. City ✓.+ State t Zip 5Z i
License Holder (Print): / 6 C State Certification/Registration # LJ2OW /74Y
N • _•. - • , er
oe I P,,, CHRISM THOMAS 20 i6
;� , � � _,, Notary Public State of H om and subscribed before me this day of IN 7-
,• f Commission #E FF 9439 A b5
,;,�
� 1,�A; My Bonded Comm. through Nati Expires onal Dec Nota 15, 20� ss . '
gnature of No Public a - x - -�