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.