1686 Maritime Oak Dr temp elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.i 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-2493
Job Type: ELECTRIC ONLY
Description: temporary pole - 30 amps/240 volts/single phase
Estimated Value:
Tssue Date: 11/7/2016
_ Expiration Date: 5/6/2017
PROPERTY ADDRESS:
Address: 1686 MARITIME OAK 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(004)247-5826 Fax(904)247-5845
JOB ADDRESS: /(0,8& 1'n4 %r:w 0^e- A, PERMIT#(& -Sr7?-/9'77
JEA INFORMATION REQUIRED ON ALL PERMITS 70 AMPS F'eu VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ED Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
❑0-100 amps 11101-150amps ❑151-200amps Fl-amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
[]Temporary Pole Fl��amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ❑150smps L200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUH.D-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 Q kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAHLSIMISCELLANEOUS
1 1 Replace Burnt/Damaged Meter Can !..1 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 trate and correct All provision of laws and ordinances governing this work will be complied with whether
specified or not Ile permit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of
construction. p -
Property Owners Name n t 1/. 5160 143 AA--S Phone Number
Electrical Company W a66^1 e..(t( L(4,c-m i Office Phone Fax
Co.Address: 172c( (iv. rseow.t/ tyr' City JRf State t't Zip 32ZJr/
License Holder(Print): to Certification/Registration#
older
✓ ,�y„ GHHIS M.THOMAS
iP a, Notary Public-State ut Fluntla SWOm d subscribed before me this '1 t= day of i� 5 20J
Commission N FF 943955
®dd My comm.Expires Dec 15,2019 Signature of Notary Public
�39L�a`•` Bonded lbroupA Nature!Nmay Assn.