1686 Maritime Oak Dr elec permit fl , •
r
CITY OF ATLANTIC BEACH
,. s) 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-2712
Job Type: ELECTRIC ONLY
Description: new electrical service - 200 amps/240 volts/single phase
Estimated Value: $7,000.00
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
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:
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(97�04)247-5845 1(0
JOB ADDRESS: /(o6/e /)Io✓1Crni 0,4,c- & PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZW AMPS ZqO VOLTS �_PHASE
VALUEOFWORKS 7dJ0
NEW SERVICE ❑ Overhead ❑ Underground E�r Underground up Pole
OResidential(Main)Service
00-100 amps 0101-150amps 0151-200amps C amps #of Meters_
❑Commercial(Maio)Service
❑0-100 amps 0101-150amps F]151-200amps C amps OCTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps C 101-150amps O 151-200araps O amps #of Unit Meters
❑Temporary Pole amps
SERVICE UPGRADE O amps O CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
O 100 amps U 150amps O200amps O amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 62 0-30amps 31-100amps 101-200amps
Appliances: --�0-30amps 31-100amps 101-200amps
A/C Circuits: z 0-60amps 61-100amps
Heat Circuits: # circuits Q__�kw
Number of Lighting Outlets, Including Fixtures: IV
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Doke DeaadorsrQty ❑Transformers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/AHSCELLANEOUS
(Replace Burat/Damaged Meter Can I Safety Inspection ❑Panel Change OOH to UG
-Other:
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for she 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 not give authority W violate the provisions of any other state or local law regulation commutation or the performance of
construction.
Property Owners Name Phone Number
Electrical Company /'N 1,%nlo-Jd Z'L c rt r Office Phone Fax
Co.Address: 3z t t o... 1t>e , . 8.9-. City JvX State /?zip 3'2'75V
License Holder(Print): Lovr' St/ate Cerr ificatioon/Registration# L:LOW t�4y
Notarized Signature of wense
cn9ls u.nomas Swum ansubscribed before me this L` day of 17 er.c_" 20_!_4_iF w• ue�tit, Notary Public State of Floritla
Commission a FF 943955 lure No Public
®; My Comm.Expires Dec 15.2019 Signa of Notary
sonde,ihmud,Natio nal Nouryasen.