1702 Atlantic Beach Dr - Electric J
\s, CITY OF ATLANTIC BEACH
' •
� f 800 SEMINOLE ROAD
J 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-1226
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE , 200 AMPS, 240 V. SINGLE
PHASE
Estimated Value: $7,000.00
Issue Date: 5/27/2016
Expiration Date: 11/23/2016
PROPERTY ADDRESS:
Address: 1702 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
il Total Payments: $129.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 ` E�- rj Z z
JOB ADDRESS: /10 2- /Mc t, C. 5 - r PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZUU AMPS 21/40 VOLTS / PHASE
VALUE OF WORK S 1,000
NEW SERVICE ❑ Overhead I ""r-Underground nl Underground up Pole
- Residential (Main)Service
-0-100 amps _101-150amps 11-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps '151-200amps amps CT Service amps
Conductor Type Size
-Multi-Family(Main)Service
0-100 amps 101-150amps ! :151-200amps amps #of Unit Meters
-Temporary Pole amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ' ;150amps =-200amps amps _iCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: /O'f 0-30amps 31-100amps 101-200amps
Appliances: f 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: Z # circuits @ r kw
Number of Lighting Outlets, Including Fixtures: 412-
OTHER
•/ZOTHER ELECTRICAL PROJECTS
Swimming Pool Sign :•-gmoke Detectors 7 Qty Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can i :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 /'7r v.; + m.* Phone Number
Electrical Company /K r t)o.,J✓f Office Phone 3a'cv-73 Fax 7(66- / efEW
Co. Address: 3Ze( W- Cot✓4✓ City J ete State F Zip 3? J'/
License Holder (Print): G y ( #t� State Certification/Registration# L'r000 F/4V
N der
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,.�,�.P�'-.
��° 1 NotaryCHRIS PublicM.State of THOMAS Florid
. worn and subscribed before me this al day of (VL-( 201
Commission#FF 94394
SU
./Vii.'- My Comm.Expires Dec ' I ignature of Notary Public L f. ' �r
F.Pie Bonded through National