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601 COASTAL OAK LN - TEMP POLE ,S BVI\ . r (-i i , I, CITY OF ATLANTIC BEACH 0 ' • `.2 800 SEMINOLE ROAD 7-3 !"' , 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-1712 Job Type: ELECTRIC ONLY Description: ELECTRIC - TEMP POLE Estimated Value: 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 Temporary Electrical Service $35.00 Trade Permit Base Fee $55.00 Total Payments: $94.00 PERMIT IS APPROVED ONLY IN ACCORDANCE Wrl'll 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 / L�C� ( � Ph(904) 247-5826 Fax(904) 247-5845 1 (-) ' -� JOB ADDRESS: /DO) COAST-1"7- 0 UJ PERMIT# f 6-Sf-(2/2 JEA INFORMATION REQUIRED ON ALL PERMITS 2 'O AMPS 1-110 VOLTS ( PHASE VALUE OF WORK S NEW SERVICE ❑ Overhead Underground }i Underground up Pole Residential (Main)Service 0-100 amps 101-150amps 151-200amps amps #of Meters Commercial(Main)Service 0-100 amps 101-150amps 151-200amps amps CT Service amps Conductor Type Size Multi-Family(Main)Service 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: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kww 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 S 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 1 hay e read this application and know the same to he 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 'it;t-L 4 /0 Cr-Ar Phone Number /'n�i a c--A4 351or1� Fax Electrical Company � Office Phone �3 Co. Address: 3`z(1 - '^''`./ & . City J r'7e State 6 Zip -?Z°511 License Holder(Print): /- ,Iv 4 C State Certification/Registration# el 000 1� V Notari ed Signature o License o der Y 0: CHRIS M THOMAS 1+0.. ;�; Notary Public-State of Florida w m and subscribed before me this a 0 day of ---../0 Li 201C1 -'•' .4, :•= Commission # FF 943955 My Comm.Expires Dec 15.2019 ignature of Notary Public .. • '" ''''d'' Bonded tnrough National Notary Assn / ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 / ���,J I Ph(904)247-5826 Fax (904) 247-5845 I JOB ADDRESS: 601 Coe-S - O (--4"/ PERMIT# I d-Sf -(2/2 JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead 1 '(Underground nT 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 j)-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: 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 S 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 It;0- rgv0 is Phone Number Electrical Company PI t(—Id Office Phone 3570'111-7 3 Fax Co. Address: 32(1 (,v_ 61`^'^i oC. . City J r"X State Zip X2 SY License Holder(Print): i• ,g C State Certification/Registration# eZCX. 17y y Notarijed Signature olLicense Iiolder 1 �,�'pV CHRIS M.THOMAS wern and subscribed before me this a ei day of Iu L 201(0 �011Notary Public•State of FloridaCommission#FF 943955 / _;', � ��1 My Comm.Expires Dec 15,2019 Signature of Notary Public !�'�`� "''Is xis Bonded through National Notary Assn.