1759 Maritime Oak Dr elec permit �c
CITY OF ATLANTIC BEACH
sy 800 SEMINOLE ROAD
U 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-2713
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: 1759 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
, EC0o01794
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(9\\04)247-5845
.TOB ADDRESS: /7S`7 Mc,, d flyc ,u✓ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z t/U AMPS 7—YO VOLTS / PHASE
VALUE OF WORKS 7r ay.:y.d 0
NEW SERVICE ❑ Overhead EErUnderground ❑f Underground up Pok
❑Residential(Main)Service
00-100 amps ❑101-150amps 19451-200amps ❑ amps #of Meters
❑Commercial(Maio)Service
❑0-100 amps D101-150amps ❑151-200amps ❑ amps ❑CTService amps
Conductor Type size
❑Multi-Family(Maio)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.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _Jib 0-30amps 31-100amps 101-200amps
Appliances: 5' 0-30amps 31-100amps 101-200amps
A/C Circuits: z 0-60amps 61-100amps
Heat Circuits: # circuits @_�- kw
Number of Lighting Outlets, Including Fixtures: 2
OTHER ELECTRICAL PROJECTS
[]SwimmingPool Sig NSmoke Detectors {Qty ❑Transformers KVA ❑Mmors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑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 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 to violate the provisions army other nate or local law regulation construction or the performance of
construction.
Property Owners Name l—OLt a✓d yJ Phone Number
Electrical Company /1^d /�orve-/cd �P G C I14 c Office Phone Fax
Co.Address: 3zT/ t" � " city J'-K State FI- Zip r/
License Holder(Print): L ✓� (?I �„State Certification/Registration# 4 c Ic
Notarized i rany er
CHRIS M.THOMAS y,
y .'t, Notary public-State or Florida worn and subscribed before me this S— day of D ect.L. 201L
Commission M FF 943955
^®de My Comm.Expires Cee 15.2019 ignature of Notary Public
Bomled twou9a Arai Nolary Assn.