1690 ATLANTIC BEACH DR TEMP POLE PERMIT `S CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J = ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
C f31t
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1711
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value:
Issue Date: 7/28/2016
Expiration Date: 1/24/2017
PROPERTY ADDRESS:
Address: 1690 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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 16
Ph(904)247-5826 Fax(904) 247-5845 � ��-
JOB ADDRESS: /&610 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Zvb AMPS 7-Y& VOLTS PHASE
VALUE OF WORK 5
NEW SERVICE ❑ Overhead Underground ❑1 Underground up Pole
-Residential(Main)Service
0-100 amps 101-150amps i4fS 1-200amps - amps #of Meters
Commercial(Main) Service
70-100 amps 101-150amps '151-200amps amps _CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps "^151-200amps amps #of Unit Meters
-Temporary Pole > 30 amps
SERVICE UPGRADE - amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps 200amps amps = CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: OZ 0-30amps 31-100amps 101-200amps
Appliances: (p 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: �— # circuits @kxv
Number of Lighting Outlets, Including Fixtures: Z
OTHER ELECTRICAL PROJECTmoke
-Swimming Pool - Sign Detectors �CQt<- -Transformers KVA _Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
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. 1 hereby-certiN that I ha\e
read this application and know the same to be true and correct. All provisions of laws and ordinances goveming 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 %L /-�✓o Phone Number
Electrical Company %Y<<[ Office Phone � '`��-�3 Fax
Co. Address: z 6 • 11-3e64 L/-C' �- City State Zip
License Holder(Print): State Certification/Registration#
Notarized Signature of License Holder
CHRIS M. THOMAS Sworn and subscribed before me this ax—, _day of Ju(4 201
Notary Public-State of Florida
Commission FF 943955 Signature of Notary Public
My Comm.Expires Dec 15,2019
Bonded through National Notary Assn.