1722 MARITIME OAK DR - ELECTRIC ,.jr�J`1 J
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��� CITY OF ATLANTIC BEACH
a� , S� 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
� N ' INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-2945
Job Type: ELECTRIC ONLY
Description: new residential service - 200 amps/240 volts/ single phase
Estimated Value: $7,000.00
Issue Date: 1/6/2017
Expiration Date: 7/5/2017
PROPERTY ADDRESS:
Address: 1722 MARITIME OAK DR
RE Number: None
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF N FL
Address: 414 OLD HARD RD STE 502 MATTHEW ROBERTS
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: $129.00
PERMrr IS APPROVED ONLY IN ACCORDANCE WITII ALL clan OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904) 247-5845 VA— .LL C.— dci Lt-S-
JOB ADDRESS: /72 2 /'Yjwrtrry ()/. )e. ,✓. PERMIT# /(r.5F12 -2 y2 U
JEA INFORMATION REQUIRED ON ALL PERMITS Zc1-1 AMPS 7=40 VOLTS / PHASE
VALUE OF WORK$ 1 GOU
NEW SERVICE ❑ Overhead r 6nderground nl Underground up Pole
_ Residential (Main) Service
i0-100 amps 101-150amps51-200amps 1 amps # of Meters
.Commercial(Main)Service
-0-100 amps 101-150amps ; ;151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
I 0-100 amps ' 1101-150amps i_ 151-200amps amps # of Unit Meters
i Temporary Pole ' amps
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps 1- 150amps :200amps amps -ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 72- 0-30amps 31-100amps 101-200amps
Appliances: `q 0-30amps 31-100amps 101-200amps
A/C Circuits: 2 0-60amps 61-100amps
Heat Circuits: 2 # circuits @ .5"-- kw /
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECT
:Swimming Pool ! '. Sign ''Smoke Detectors (At Qty Transformers KVA i Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
.Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
Other:
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Permit 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 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 Alt/ /tsh /k '.c Phone Number
Electrical Company (14 c&Amid E (-net' Office Phone 317' c<-03 Fax
Co. Address: 3Zi I W. /6,04.1/...., ' / City State Zip
License Holder(Print): J—'1/ 4 C 'r'e State Certification/Registration# Ec cZO/ 7�
Notarized Signature of License Holder G142�
♦,•PRY PVei
CHRIS M. THOMAS Sworn and subscribed before me this 6,. day of M..•,,,--t 20 11
r°, \( Notary Public-State of Florida
•: 4: :4 Commission it FF 943955 Signature of Notary Public ` 7//e •---
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t.„J��p�i My Comm.Expires Dec 15.2019
Bonded through National Notary Assn.