1690 ATLANTIC BEACH DR - TEMP POLE r 1'J
�S rt,
� I, CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
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-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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI. CITY OF ATLANTIC BEACH ORDINANCES AND TIIE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 _
Ph(904)247-5826 Fax (904)247-5845 f EC-I 71 1
JOB ADDRESS: /t.a C'C) /o.,,/Z 'c. &G,-c' � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZUC) AMPS Zy) VOLTS ( PHASE
VALUE OF WORK S
NEW SERVICE E Overhead Underground 1-11 Underground up Pole
:Residential (Main)Service
-0-100 amps _101-150amps ;:‹51-200amps _ amps #of Meters
:Commercial(Main)Service
-0-100 amps _ 101-150amps 151-200amps amps .. CT Service amps
Conductor Type Size
-.Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
-Temporary Pole V 30 amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 150amps :-200amps amps :CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 02 0-30amps 31-100amps 101-200amps
Appliances: (p 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: " # circuits @ t U kw
Number of Lighting Outlets, Including Fixtures: S-7
OTHER ELECTRICAL PROJECTS
`Swimming Pool Sign 'Smoke Detectors cQty -Transformers KVA _Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
I 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 %+r L. 40 M,_ Phone Number
Electrical Company in(/iUA((J'f P-f. 4_ M« Office Phone 36-moi ' Fax
Co.Address: 32 c 1 (,". ,gtc Lx.., d7- City State Zip
License Holder(Print): AX-7--)7 (^ ' State Certification/Registration# L'Cab /�ci c/
Notarized Signature of License Holder
,,,; Y ` CHRIS M. THOMAS ISworn and subscribed before me this da i� day of J u Li 2016
1 _° 1 �:_ Notary Public.State of Florida `
i • :•e Commission #FF 943955 iSignature of Notary Public ,
.;,,��,-0W My Comm.Expires Dec 15,2019
'' O loss Bonded through National Notary Assn.