1786 ATLANTIC BEACH DR - ELECTRIC CITY OF ATLANTIC BEACH
i f 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: 17-ELEC-2944
Job Type: ELECTRIC ONLY
Description: new electrical 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: 1786 ATLANTIC BEACH DR
RE Number: None —PROPERTY OWNER:
Name: TOLL FL VI LIMITED PARTNERSHIP
Address:
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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF Al LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 I'--LULL-&q y ((
JOB ADDRESS: / B( 4/c., t1 &c.,....-1-. .6,-. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS PO AMPS 2-'1 V VOLTS ( PHASE
VALUE OF WORK$ 7, 000
NEW SERVICE ❑ Overhead 1-9 IInderground []I Underground up Pole
Residential(Main)Service
.i 0-100 amps ; 101-150amps �t 51-200amps amps # of Meters
Commercial(Main) Service
r0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
:Multi-Family(Main)Service
0-100 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: Ito 0-30amps 31-100amps 101-200amps
Appliances: t- 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: Z # circuits @ .5 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
'_Swimming Pool Sign Smoke Detectors.cQty Transformers KVA 1TMotors 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:
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 / / 1.-/r0//6-1 S Phone Number
Electrical Company (Abu^t t,-/d at` fn t c Office Phone 3.5704Y '3' Fax leo- /41)Y
Co. Address: 3 - ' / w. t a v-t.-- r City ci✓}7` State Zip 322-rY
License Holder(Print): C
/o✓✓'d' 6 C '" State Certification/Registration# c/c°t -79
Notarized Signature o License Holder Gf,f-,-.4
7%4;,; CHRIS M.THOMAS
.•�;.aY Pia.,, Sworn and subscribed before me this � -- day of 34.v�--t 20 11
J _`.�„+:; Notary Public-State of Florida
1 Commission a FF 943955 si nature of Notary Public C� -
's°s .�r�`o� M Comm.Expires Dec 15.2019 g �—
e '%%° 8 nded through National Notary Assn.