1661 Atlantic Beach Dr temp pole permit CITY OF ATLANTIC BEACH
,hi 59 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2151
Job Type: ELECTRIC ONLY
Description: ELECTRIC -TEMP POLE
Estimated Value: $100.00
Issue Date: 9/26/2016
Expiration Date: 3/25/2017
PROPERTY ADDRESS:
Address: 1661 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
, EC0001794
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 /
Ph(904)247-5826 Fax(904)247-5845 to G.EC—Z( S
JOB ADDRESS: 1W i tq�10.,,tt &x A _✓ PERMIT# 16-s Iii -)ey/
JEA INFORMATION REQUIRED ON ALL PERMITS -Z 00 AMPS 2(yo VOLTS _�PHASE
VALUE OF WORK$ /00.0,9
NEW SERVICE ❑ Overhead ❑ Underground ❑f Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
ocommereial(Main)Service
❑0-100 amps 0101-150amps ❑151-200amps II amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
0¢100 amps 0101-150amps 0151-200amps LI amps #of Unit Meters
PTemporary Pole 0--20—amps
SERVICE UPGRADE amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps i 200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Oudets/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 0 Sign O Smoke Detectors_Qty ❑Transformers KVA OMotors hp
FIRE ALARM SYSTEM (Require 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
0 Replace Burnt/Damaged Meter Can 0 Safety Inspection I]Panel Change 0OH to UG
❑Other:
Permit histories 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 hue and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not The permit does riot give authority to violate the provisions of my other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company Office Phone 3%-y4-?3 Fax 1,
Co.Address: 32,(1 (x✓- //7�P°v'r/ �7 • City ,)/aqf State�Zip J MV
License Holder(Print): La'/ Com/ State 'ficadory/Registra . 4 �ZoFIp 1'�4y
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