1661 Atlantic Beach Dr elec permit CITY OF ATLANTIC BEACH
I 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-2150
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value:
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
, E00001794
Address: 6915 WEST BEAVER ST CA LARRY BRIAN CARTER
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
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 C
/��P,�,h,"(904�))2--47-5826/Fax(904)247'-5845
JOB ADDRESS: (a 6 l /- gcad t t� /SPa.t A J ✓ PERMIT# /b-SFi2'/b d/
JEA INFORMATION REQUIRED ON ALL PERMITS ZUU AMPS Z-t U VOLTS i PHASE
—,/VALUE OF WORK S
NEW SERVICE EJ Overhead iT Uudetground ❑I Underground up Pole
Residential(Main) Service
-0-100 amps _101-150amps eff51-200amps amps of Meters
Commercial(Main)Service
-0-100 amps --101-150amps 11151-200amps Ii amps -CT Service amps
Conductor Type Size
.Multi-Family(Main)Service
-.0-100 amps 101-150amps ❑151-200amps J amps #of Unit Meters
-Temporary Pole amps
SERVICE UPGRADE _ strips CT Service amps
NEW FEEDER(ADDITIONS ACCESSORY STRUCTURES,ETC.)
-100 amps 1750amps =200amps amps -ICP Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _!5�0-30amps 31-100amps 101-200amps
Appliances: 1, 0-30amps 31-I00amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: Z # circuits Qr_kw
Number of Lighting Outlets, Including Fixtures: S7-
OTHER
ZOTHER ELECTRICAL PROJECTS
CSwimming Pool ❑ Sign Ptmoke Detectors (/ Qty -Transformers KVA -_Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
'.Replace Bum/Damaged Meter Can CSafety Inspection -Panel Change -0H to UG
Other:
Permit becomes void ifwork does not commencewithin a six month period or work is suspended or abandoned for six months. I hereby cmifi that 1 have
read this application and knmv the same to be true and correct All provisions of laws end ordinances goveming this work will be complied with whether
specified or noL The permit does not give authority to violate the provisions of any other Rule or local law regulation construction or the performance of
construction.
Property Owners Name %at.'_ QvaEk+ Phone Number
Electrical Company /t'r'Ou� a-lid Office Phone in-64173 EbDc
Co.Address: 32t I w. /Stbt..w d'7' City Jfy State 6 - Zip 225L/
License Holder(Print): r!r C pSt/a% er�tificatiioon/RReegistration# EZ tX70 IM V
Notarized Signature ojLicenseHolder GfiYlffO��(�ZtiG�9
NO'
CHRIS M Th,A� • Sworn and subscribed before me this A t= day of .Sr k..L.. 20 16
ts`: Notary Public-5lale of Harriss t
Commission Y FF 943955 ignature of Notary Public
- d„s MY
Comm " "
Dec 15.2019 —
eoveea lnmu9�Nalional Nolary Nsn.