23 Coral St - New Electric 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
JOB INFORMATION:
Job ID: 16-ELEC-2319
Job Type: ELECTRIC ONLY
Description: 200 amps/240 volts/single-phase new electrical service
Estimated Value:
Issue Dace: 10/20/2016
Expiration Dace: 4/18/2017
PROPERTY ADDRESS:
Address: 23 CORAL ST
RE Number. None
GENERAL CONTRACTORINFORMATION:
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
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: Z 3 C0,-J S�. PERMIT# I
JEA INFORMATION REQUIRED ON ALL PERMITS 7cu AMPS 7—YO VOLTS / PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead E� underground E3 Underground up Pole
❑Residential(Maio)Service
130-100 amps ❑101-150amps BT51-200amps ❑ amps 4o Meters
❑Commercial(Maio)Service
110-100amps [1101-150amps ❑151-200amps I: amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
❑ 100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
Effernporary Pok ❑ (00 amps
SERVICE UPGRADE []------amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps Dampes ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUEL"UTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: &r 0-30amps 31-100amps 101-200amps
Appliances: 3-- 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: I # circuits @ 10 kw
Number of Lighting Outlets, Including Fixtures: 3-7
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ?Smoke DetectorsfQty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Bumt/Damaged Meter Can ❑Safety Inspection ]Panel Change laOHto UG
riOther.
Permit becomes void if work does not contraction within a six month period or work is suspended or abandoned for six months. I hereby certify then I have
read this application and know the same to be nue 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 m violate the provisions of any other state or local law regulation construction or the performance of
construction.
Property Owners Name Crhrl:u Io r, �, e7- Phone Number
Electrical Company /We,)onnjc/ n.fC OfficePhone 3�&'V/'23 Fax ?Xe148'1
Co.Address: 32t/ 4.+ /jeay.�-� /(�{—City 141'> State�- Zip 322]2/
License Holder(Print): State Certification/Registration#
Notarized Si r u e .i /der
CHRIS M.THOMAS
sy r•a°`v Notary Puauc Slate of Florida Swom and subscribed before me this day of O[ i-4-. 20�
Commission#FF 943955
qe.® - My Comm.Expires Oec 15.2019 Signature of Notary Public -
Bonded IN 411 National Notary Assn.