598 TIMBER BRIDGE LN - ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
/12 ATLANTIC BEACH, FL 32233
\ , r c r INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1337
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLT, SINGLE
PHASE
Estimated Value: $7,000.00
Issue Date: 6/10/2016
Expiration Date: 12/7/2016
PROPERTY ADDRESS:
Address: 598 TIMBER BRIDGE LN
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904) 247-5845 ` 62 yELE C-13--62
JOB ADDRESS: 5--.1$ 7 co 64. ,6.-c dd.4 (a PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ° AMPS Z-/O VOLTS 1--"' PHASE
VALUE OF WORK$ 7,044)
NEW SERVICE ❑ Overhead (—`-underground I Underground up Pole
_Residential (Main) Service
- 0-100 amps _101-150amps :- .1-51-200amps _ 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 H101-150amps F ;151-200amps amps #of Unit Meters
-Temporary Pole i amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ;150amps 200amps amps _1CT 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 Sign 'smoke Detectors (0 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 hay e
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 Tor-4- i3ed f Phone Number
Electrical Company /H c,b mo--laf ac in-/c,' Office Phone 3 Sli,-5y73 Fax `7H&-/96'1
Co. Address: 32 / (...'• fl c%., -• City Ji' State F'L Zip 72z,
License Holder(Print): l-,4,-/- ,✓�v G-- State Certification/Registration# ?-O O /'75)4
N ,,yaP,,,rgna r (t�lUliA£e Ho er �•
::‘ `' Notary Public-State of Florida
g. 01 c Commission # FF 943955 worn and subscribed before me this 16 lI day of Sc, f. 201
=). ,1_ e:� My Comm.Expires Dec 15,2019
'�'' Our,fig. Bonded through National Notary Assn ignature of Notary Public (2 - ,g,____),...1____
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