1726 ATLANTIC BEACH DR - ELECTRIC NEW SERVICE ,t \-1'J\
e.
*t 1\S CITY OF ATLANTIC BEACH
w 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-3032
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,500.00
Issue Date: 1/18/2017
Expiration Date: 7/17/2017
PROPERTY ADDRESS:
Address: 1726 ATLANTIC BEACH DR
RE Number: None
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: $129.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph (904)247-5826 Fax (904)247-5845 17 —E 303 z-
JOB ADDRESS: / -22 6 Lc4 t c &0-447 ✓J PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 20:-) AMPS 7-YO VOLTS / PHASE
VALUE OF WORK$ 7, °'Uv
NEW SERVICE ❑ Overhead FR Underground J Underground up Pole
DResidential(Main)Service
_i0-100 amps 1101-150amps `tl'51-200amps [:_ amps #of Meters
UCommercial(Main) Service
fl0-100 amps _101-150amps 1-151-200amps r amps ICT Service amps
Conductor Type Size
O Multi-Family(Main)Service
LJi0-100 amps •:101-150amps 151-200amps amps # of Unit Meters
L Temporary Pole 111 amps
SERVICE UPGRADE i amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps `150amps .ii200amps L amps :_-_:CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 77 0-30amps 31-100amps 101-200amps
Appliances: S" 0-30amps 31-100amps 101-200amps
A/C Circuits: 2. 0-60amps 61-100amps
Heat Circuits: Z- # circuits @ /0 kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS.
:Swimming Pool C Sign 3Smoke Detectors (D Qty :7Transformers KVA 1 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 Li Panel Change LOH 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 I�`'t' dv04 _f Phone Number
Electrical Company /14 Y)ON o"Qd S�L Office Phone 381.-/`r?? Fax 7gto'/QYV
Co. Address: 3Z t/ C' ' &a✓.4y ,• City J►''X State �� Zip ?22-511
License Holder(Print): Lam( ? ( 9' State Ce 'fication/Registration# El CX" 1-7 'i
'/
Notarized Signature of License Holder �� (/ Ag•
s,, YPalk CHRIS M. THOMAS Sworn; and subscribed before me this 11 .- day of :3"'a«y 20 Il
;tea°: -.`o Notary Public -State of Florida / ,/
'1- Commission # FF 943955 L/`'
",���;� My Comm.Expires Dec t5,201g 1 Signature of Notary Public -V.Z.-t---
Expires
Bonded through National Notary Assn
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