1728 MARITIME OAK DR - ELECTRIC '11" 5, CITY OF ATLANTIC BEACH
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: 17-ELEC-2946
Job Type: ELECTRIC ONLY
Description: new residential service - 200 amps/240 volts/ single phase
Estimated Value: $7,200.00
Issue Date: 1/6/2017
Expiration Date: 7/5/2017
PROPERTY ADDRESS:
Address: 1728 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: $129.00
I'ERNIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TME FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845 11 —LL C— a 9 46
JOB ADDRESS: /728 (v -1,irn./ O/1 ', PERMIT# I(- SFR- 2298
JEA INFORMATION REQUIRED ON ALL PERMITS Zoo AMPS Z'/U VOLTS / PHASE
VALUE OF WORK$ 7, 250
NEW SERVICE El Overhead r+1 nderground 1J Underground up Pole
LiResidential (Main)Service
El 0-100 amps 101-150amps _rill-200amps 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 ' i 101-150amps i_151-200amps amps # of Unit Meters
[ Temporary Pole ?O amps
SERVICE UPGRADE amps I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps ' 150amps :200amps amps ICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 419 0-30amps 31-100amps 101-200amps
Appliances: c 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: V # circuits @ C kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool r Sign .S-moke Detectors C , Qty Transformers KVA 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 ChangeLOU 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. 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 Al tA/S U /3^^1 S Phone Number
Electrical Company /W tJO^/ aJd ea tie`c. Office Phone 352 9?"3 Fax
Co. Address: 3Z-1 i l/..,- % c?t �-/ City J' State Ft. Zip 321-1/
License Holder(Print): tovvy to.' A C. fie State Certification/Registration# C2- /-79 '1
Notarized Si nature o License H !der -
�n,;, CHRIS M.THOMAS ~ 2O 11
,6.. Pie Sworn and subscribed before me this 6 ;� day of 3e..-.,r-1
r.; „`0 Notary Public-State or Florida
•; !� ;•= Commission e FF 943955 Sl nature of NotaryPublic L/` •
=?, �f7,.e .= My Comm.Expires Dec 15.21)19 g
°F°� �,P� Bonded through National Notary Assn
•'. 'CSL Ss,