1726 ATLANTIC BEACH DR - TEMP POLE -S y\-1
�� ': . J` , CITY OF ATLANTIC BEACH
�•,, . w 800 SEMINOLE ROAD
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
IELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3150
Job Type: ELECTRIC ONLY
I Description: ELECTRIC - TEMP POLE
Estimated Value:
Issue Date: 2/1/2017
Expiration Date: 7/31/2017
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:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 i `� _CL C�, ( s�
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: /7 Z(P 4P ,11-,-(-,x,. &,,e,‘ f'✓ PERMIT# /6-S f12- rig g
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS Z'?Q VOLTS / PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead n Underground J Underground up Pole
',Residential(Main)Service
LI amps 101-150amps :1151-200amps L amps # of Meters
V Commercial(Main)Service
7;0-100 amps __101-150amps n 151-200amps T amps i iCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
C0-100 amps .101-150amps H 151-200ampsamps #of Unit Meters
_'lemporary Pole 30 amps
SERVICE UPGRADE •I amps 1 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-:100 amps 1:150amps - 200amps amps LCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-l 00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:Swimming Pool 0 Sign Smoke Detectors Qty --Transformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can ; Safety Inspection !Panel Change 0011 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 1 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 Ut-(- eyd 'S Phone Number
Electrical Company /14 tat►'2'? Office Phone Fax
Co.Address: ?z- 7 w. /,r Gt ✓-✓ SI- City J/4( State / Zip ."--Cel
License Holder(Print): L o - ._ /' ei, t r State Certification/Registration# 4Z GU)/—2/V
Notarized Signature of License Holder
. " "•. CHRIS M. THOMAS
1 Sworn and subscribed before me this 1,27 day of C-c b t 20 1,
4 rl
,':°, ,`�; Notary Public-State of Florida
• i! :•= Commission # FF 943955 (Signature of NotaryPublic
;; II11 •e� g ��. ,-y
,,_...„7_pa,� My Comm.Expires Dec 15,2019
'"48f i°'''' Bonded through National Notary Assn.