1710 Maritime Oak Dr elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2711
Job Type: ELECTRIC ONLY
Description: new underground service - 200 amps/240 volts/single
phase
Estimated Value: $6,000.00
Issue Date: 12/6/2016
Expiration Date: 6/4/2017
PROPERTY ADDRESS:
Address: 1710 MARITIME OAK DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
r E00001794
Address: 6915 WEST BEAVER ST OA 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
Totai 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 )(0
11
.TOB ADDRESS: ! l o /V1cvirro p,oe Av PERMIT# a}
JEA INFORMATION REQUIRED ON ALL PERMITS ZU0 AMPS Z`40 VOLTS PHASE
VALUE OF WORKS &,000
NEW SERVICE ❑ Overhead D'Uaderground D Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps [3(51-200amps G amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps F1,151-200amps ❑ amps LCT Service_amps
Conductor Type Size
[]Multi-Family(Maio)Service
00-100 amps 11101-150amps ❑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,BUHA-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 2 0-30amps 31-100amps 101-200amps
Appliances: � 0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: / # circuits @ /0 kw
Number of Lighting Outlets, Including Fixtures: ' Z
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 10Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty volts/amps VALUE OF WORK S
REPAHLS/MISCELLANEOUS
I lReplace Bumt/Damaged Meter Can -]Safety Inspection ❑Panel Change ❑OH to UG
[]Other:
Pemtit becomes void if work 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 of laws and ordinances governing this work will he 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. .� py
Property Owners Name /ja-t- Phone Number
Electrical Company f. el 66 c tler t Office Phone Fax
Co.Address: 32t/ w. ese .4.1 41- city dp,?e Stated Zip 7r2 SN
License Holder(Print): law C 4 State Certification/Registration# kZ CW /—hV
r
Notarized Signature of License Holder
crams M inorJ>s Sworn and subscribed before me this St day of 1D eu—l— 20 It.
le Nolaiy Yuaiic- of Notary Public
Stale o�Floiitla
commisalon a e 943955 Signature
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MI,
y Comm.Expires Dec 15,2019
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