1804 Atlantic Beach Dr new elec permit CITY OF ATLANTIC BEACH
,.; 800 SEMINOLE ROAD
J 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-2788
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,000.00
Issue Date: 12/13/2016
Expiration Date: 6/11/2017
PROPERTY ADDRESS:
Address: 1804 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
IEC0001794
Address: 6915 WEST BEAVER ST CA LARRY BRIAN CARTER
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 p
Ph(904)247-5826 Fax(904)247-5845 1(o- ELE,C - Z'78g
JOB ADDRESS: /8oy /t�vl""t i �Oqc La A PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Lc,() AMPS Zy0 VOLTS / PHASE
,�,T�VALUE OF WORK$ If 600.00
El SERVICE Overhead LUnderground E3Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑751-200amps ❑ amps #of Meters
❑Commercial(Maio)Service
110-100amps E1101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Sim
❑Multi-Family(Main)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 OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUHA-OUTS,ACCESSORY STRUCTURES,ETC.
Oudets/Switches: 62 0-30amps 31-100amps 101-200amps
Appliances: -:::q:::-0-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: / # circuits @ It) kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Tmnsfonners KVA ❑Motom hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
❑Replace Bumt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
permit became;void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that 1 have
read this application and know the same m 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 of my other state or local law regulation concoction or the performance of
construction.
Property Owners Name t�r Vi.CPiG/r /�'2/!'ttf Phone Number
Electrical Company /n rl�unl�� G(t f M2 t Office Phone Fax 70G-lG,g`�
Co.Address: 3L1/ W- /lana. &T- City r ;n7 State fG Zip ;?22S5'
License Holder(Print):_�";/ (iq� State Certification/Registration#
e o ' e e Holder
"^• CHRIS M. rH01A5
/ n Notary public-Stat¢of Florida Swore and subscribed before me this Q is day of l2eea.1, 20�
Commission a FF 993955 Si of No Public
My Comm.Expires Dec 15.2019 1> tory
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Son
Ord through Normal Not aryAsan.