23 Coral St - Temp Pole CITY OF ATLANTIC BEACH
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-2370
Job Type: ELECTRIC ONLY
Description: Temp Pole - 30 amp
Estimated Value:
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 23 CORAL ST
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: $94.00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES. i
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)/247-5826 Fax(904)247-5845
JOB ADDRESS: 7 cola PERMTT# 16 -� -a37o
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
]Residential(Main)Service
LO-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑O-100 amps E1101-150amps ❑151-200amps ❑ amps 0 C Service_strips
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 30 amps
SERVICE UPGRADE ❑ amps C CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑I OO amps 11150amps ❑200amps 0 amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits ® kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign F Smoke Detectors_Qty nTransformers KVA ❑Mmorshp
FIRE ALARM SYSTEM (Requires 3 nets of plans)
Qty volts/amps VALUEOFWORK$
REPAIRS/hHSCELLANEOUS
El Replace Bunt/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. 1 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 nut give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Phone Number
Electrical Company /VtrQu nte�/-�Pd G, Office Phone
3j2W
Co.Address: tj . /Jrou^i /r�7r-- City JW State Zip
/ 3z2,i 7
License Holder(Print): l A'✓'W tot C ficahon/Registration# C2000 1-21V
llctily(Lo/der v-
....':w(,- CHRIS M.THOMAS j 5
,•: Notary Pu51ic-Slate of Rmida worn and subscribed beforeme this �S - day of LY 16.. 2016
Commission #FF 943955
,� My Comm.Ealllrea Dec 15.2019 ignature of Notary Public
Bonded through National Notary Assn.