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1686 Maritime Oak Dr new elec permit 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 108 INFORMATION: Job ID: 16-ELEC-2494 Job Type: ELECTRIC ONLY Description: new electrical service - 200 amps/240 volts/single phase Estimated Value: Issue Date: 11(7/2016 Expiration Date: 5/6/2017 PROPERTY ADDRESS: Address: 1686 MARITIME OAK DR RE Number: None GENERALCONTRACTORINFORMATION: Name: MCDONALD ELECTRIC ECDD01794 Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER Phone- FEES: New Single Family Electrical $70.00 State Elec DBPR Surcharge $2.00 State Elec DCA Surcharge $2.00 Trade Permit Base Fee $55.00 Total Payments: $129.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CTCY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach,FL 32233 ) _L G&G_ Q y q N Ph(904)247-5826 Fax(904)247-5845 JoBADDREss: /(odb /I�IWr n inf ©o*x-- Ar PERMIT# /6-SFlz/57� 3EA INFORMATION REQUIRED ON ALL PERMITS ZW AMPS ZYO VOLTS _PHASE VALUE OF WORKS '7 OODU0 NEW SERVICE ❑ overhead Underground ❑!Underground up Pole OResidential(Main)Service ❑0-100 amps 0101-150amps B151-200amps 0----amps; #of Meters_ DCommercial(Main)Service DO-100 amps D 101-150amps D 151-200amps D amps ❑CT Service_amps Conductor Type Sim ❑Multi-Family(Main)Service D0-100amps ❑101-150amps D151-200amps D amps 4 o Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE 0--jumps D CT Service_amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) D 100 amps D 150amps 0200amps D amps DCT 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: 2 0-60amps 61-100amps Heat Circuits: 2 # circuits Q=kw Number of Lighting Outlets, Including Fixtures: SZ OTHER ELECTRICAL PROJECT ❑Swimming Pool CSign -TSmeke Detectors to Qty DTmnsfortnersKVA cWtors_hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S Qty_volts/amps REPAMSMA ISCELLANEOUS FIReplace Bumt/Damaged Meter Can D Safety Inspection ❑Panel Change DOH to UG ❑Other: Permit becomes void if work does not cmnmence within a six month period or work is suspended or abandoned for six months 1 hereby certify that I h ave read this application and know the same to be we 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 to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name rqa 1"r'Src(r A) r f _Phone Number Electrical Company M r 0 Dry d d C&(y-ye'; Office Phone Fax Co.Address: 3411 w. &W.e v city J r" Stated zip 322SV License Holder(Print): ai to Cettification/Registration# E 1W/79s/ Notarized Signature of L ense Ho/der 11 CHHIS M.THOMAS '111—` day of �� 1� 20i(a- 3+°�• 4r; Notary Putire.State of Florida Sworn d subscribed before me this ' Commission a FF 943955 Sl tune of Notary Public L,� y� My Comm.Expires Dec 15,2019 gondedlmougA National Notary tssn.