580 TIMBER BRIDGE LN NEW ELEC SVC s CITY OF ATLANTIC BEACH
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-1713
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS, SINGLE
PHASE
Estimated Value: $7,000.00
Issue Date: 7/28/2016
Expiration Date• 1/24/2017
PROPERTY ADDRESS:
Address: 580 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
Trade Permit Base Fee $55.00
New Single Family Electrical $70.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 6 'EJ--EC -t 7
JOB ADDRESS: 5-80 T m I>V 8,z l v� I.r./ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZCXJ AMPS Z`<O VOLTS / PHASE
VALUE OF WORK$ -7, 000-00
NEW SERVICE ❑ Overhead [Underground EDUnderground up Pole
Residential(Main)Service
-0-100 amps 101-150amps 1-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-150amps _;151-200amps -i amps -CT Service amps
Conductor Type Size
-Multi-Family(Main)Service
0-100 amps 101-150amps 1151-200amps A amps #of Unit Meters
-Temporary Pole is amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps `7150amps7_200amps � amps DCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: Sb 0-30amps 31-100amps 101-200amps
Appliances: l 0-30amps l 31-100amps 101-200amps
A/C Circuits: ! 0-60amps 61-100amps
Heat Circuits: �_ # circuits @ /b kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool CLI Sign 119moke 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 LSafety 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 loc-� �yr]"� --J Phone Number
Electrical Company C66, wad G(C rel t, Office Phone 3 "51/13 Fax
Co. Address: fall 6-.)- 40,1.✓ City J-P-% State ff- Zip 32Zp-J
License Holder(Print): State Certification/Registration# 62 600 /75c/
N ' >! c �e ' e sjAn
r
"'�P�, CHRIS M.THOMA ►�
;��'� °`: Notary Public-State oforn and subscribed before me this o� `� day of 20 1L
i _ Commission #FF 94
;� �: M Comm.Expires Dec 1ature of No Public
y Y
''O� ��'�� Bonded through National Nol