1793 Atlantic Beach Dr - New Electric t` 1P1 j
p CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
i?i JP7J%
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2317
Job Type: ELECTRIC ONLY
Description: 200 amps/240 voltstsingle-phase new underground service
Estimated Value: $7,000.00
Issue Date: 10/20/2016
Expiration Date: 4/18/2017
PROPERTY ADDRESS:
Address: 1793 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
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: l -9 3 141�—rrs: b,,,:-A Jr, PI:RMrf#
JEA INFORMATION REQUIRED ON ALL PERMITS 7a) AMPS Z40 VOLTS PHASE
VALUE OF WORK$— 7ao•00
NEW SERVICE ❑ Overhead [3[oderground D Underground up Pole
DResidential(Main)Service
110-100 amps ❑101-150amps 9+51-200amps L amps #of Meters
❑Commercial(Main)Service
110-100amps D101-150amps ❑151-200amps II amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
OudetstSwitches: L Z 0-30amps 31-100amps 101-200amps
Appliances: _�0-30amps 31-100amps 101-200amps
A/C Circuits:
...... 0-60amps 61-100amps
Heat Circuits: Z- # circuits @�Skw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool , Sign moke Detectors_iQty ❑Transformers KVA ❑Motors hp
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 ❑OH to UG
❑Other:
Permit becomes void ifwork 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 allows and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions crony other slate or local law regulation construction or the performance of
construction.
Property Owners Name //Ol-L le'd 19�s Phone Number
Electrical Company M t/J0.4y ja S4 c/(�raz z ` Office Phone Fax
Co.Address: /�Z/I [N. 1,5ezk A� n./-. City ,J,-,e State)L Zip AE
License Holder(Print): 3 ` State Certification/Registration# &—LOOO"7 57V
Notarized Signature ofLicense Xolder
CHRIS M.THOMAS Sworn and subscribed efore me this 17', day of Oc {.Itr, 20 1 LG
J`•
r.q Notary Public-State of Fluids
commission r FF 943955 Signature of No Public
'L My Comm.Erpirss Dec 15.2019 !' Y
'•f,$,:n Bonded llnoupa National Notary Assn. CIX