601 COASTAL LN - NEW ELECTRIC SERVICE i- �,-�111
" 1 . CITY OF ATLANTIC BEACH
_ ,'I 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
\ INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1710
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS. SINGLE
PHASE
Estimated Value: $6,000.00
Issue Date: 7/28/2016
Expiration Date: 1/24/2017
PROPERTY ADDRESS:
Address: 601 COASTAL OAK 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ��
Ph(904)247-5826 Fax (904) 247-5845 ' - e. / 7(0
JOB ADDRESS: t9D I S h..-e 0104- Li,/ PERMIT# 16- SFR- 1z/a
JEA INFORMATION REQUIRED ON ALL PERMITS 2.00 AMPS ?- 0 VOLTS / PHASE
VALUE OF WORK$ 01000
NEW SERVICE n Overhead [ ✓-Underground nJ Underground up Pole
Residential (Main)Service
-0-100 amps _101-150amps 151-200amps _ amps #of Meters
::Commercial(Main) Service
0-100 amps I01-150amps 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 CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3Oamps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: / # circuits @ kw
Number of Lighting Outlets, Including Fixtures: 12-
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign S oke Detectors 5.-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 certif. 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 OLL- (3✓ �J Phone Number
Electrical Company IMOoN/r,,.JM' Office Phone -5.Sil",""el Fax
Co.Address: 3z-c / fes. ea J(/ 8. City '+ State �C- Zip 3z Z-1?-/
License Holder(Print): t Ovvy ✓-) ' > State Certification/Registration# a-7- 0W/-24 y
Notarized Signature of License flyder
4 .............. CHRIS M.THOMAS Sworn and subscribed before me this o?1± dayof 7)' 20 It,
( ,•' i.` �'; Notary Public-State of Florida
•• Commission# FF 943955 Signature of NotaryPublic
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' . My Comm.Expires Dec 15,2019 r��'
1 'q°F"Z Bonded through National Nolary Assn
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