1871 ATLANTIC BEACH DR - ELECTRIC !!
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CITY OF ATLANTIC BEACH
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800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
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JOB INFORMATION:
Job ID: 16-ELEC-1338
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE, 200 AMPS, 240 VOLT, SINGLE
PHASE
Estimated Value: $7,200.00
Issue Date: 6/10/2016
Expiration Date: 12/7/2016
PROPERTY ADDRESS:
Address: 1871 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 I C'---C>LEC.- 1 337
JOB ADDRESS: f 7/ M-c,oh,--t-i, 64 ,./.., 12- PERMIT#
1 JEA INFORMATION REQUIRED ON ALL PERMITS ZCXJ AMPS ' '''OVOLTS / PHASE
VALUE OF WORK$ 7‘7-00
NEW SERVICE ❑ Overhead (Underground nl Underground up Pole
=.:Residential (Main) Service
'.0-100 amps _:101-150amps :1151-200amps 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 1 ;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 HCT 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 (,, 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 '7,--3t-t. (34,0 •-_f Phone Number
Electrical Company /N r O r &t Jt,/ e u c,nu t- Office Phone v"5'/ 3 Fax 70(,-/9>✓v
Co. Address: 32A, w. /�t��-v S- City J f State ' Zip ?Z 2J`i
License Holder(Print): L v"-,6t, / (..4,-- .. State Certification/Registration# et (x)0 I' 9 t/
N leer 4•
fir•, CHRISM THUMAS
•ice Qac'.,
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., Notary Public .State of Florida worn and subscribed before me this 104-1--. day of J ,,r,_ 20 I L
i•' Commission# FF 943955
,,� 4- IComm.Expires 0ec15,2019 ignature of Notary Public Lt . �^°F,,`d, ed through National Notary Assn.