589 Coastal Oak Ln elec permit ,-0
CITY OF ATLANTIC BEACH
j 800 SEMINOLE ROAD
u =" ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
IOB INFORMATION:
Job ID: 17-ELEC-3217
Job Type: ELECTRIC ONLY
Description: new electrical service - 200 amps/240 volts/single phase
Estimated Value: $7,000.00
Issue Date: 2/9/2017
Expiration Date: 8/8/2017
PROPERTY ADDRESS:
Address: 589 COASTAL OAK LN
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
,E00001794
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 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 t- EL&C_ 3a t a-
JOBADDRESS:_ _ S5y co-su, . 0fltc L,.i PERMIT# 17-SfW - _-bVr
JEA INFORMATION REQUIRED ON ALL PERMITS Zu) AMPS _Fq 0 VOLTS I PHASE
VALUEOFWORKS -7 CDO- 60
NEW SEEJJttVICE El Overhead E31Underground D Underground up Pole
F31Feeidential(Main)Service
00-IOO amps 1:101-150amps G1'S1-200amps 1- MPS #of Meters
Cicommercisl
(Main)Service
10-100amps 0101-150amps 0151-200amps I's--MPS DCT Service amps
Conductor Type Size —
OMulti-Family(Main)Service
UO-100 amps U 101-150amps ❑151-200himps U amps #of Unit Meters
CTemporary Pole amps —
SERVICE UPGRADE -I amps :1 CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
r 100 amps U 150arl C200mnps L' amps UCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7y 0-30amps 31-100amps 101-200amps
Appliances: —5-- 0-30amps _31-100amps 101-200amps
A/C Circuits: --T-0-60amps 61-100amps
Heat Circuits: Z #circuits @—=kw
Number of Lighting Outlets, Including Fixtures: 34
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign �--43`moke DetectorsQty ❑Transformers KVA PMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty_volts/amps VALUE OFWOR%S
REPAIRS/MISCELLANEOUS
i lReplace Bumt/Damaged Meter Can L Safety Inspection '7Panel Change COH to UG
COthm
Permit becomes void ifwork does not commence within a six month period in work is suspended or abandoned for sin months. I hereby certify that 1 have
read this application and know the same to be tare and coned All provisions of laws and ordinances goveming this work will be complied with whether
specified or not The permit does not give authority to violate the provisions of my other nate or local law regulation construction or the performance of
construction.
Property Owners Name J�it�^Z rc /Aj Phone Number
Electrical Company Mcr),3",.jd Gta,'ra.F'i OfficePhone 3S�-';V r Fax 7$L'/f8y
Co.Address: 3711 w . 6.L i
city Jl-�A StateF�, Zip s^zzly
Lie lase Holder(Print): Spate Ce fication/Registratio l# &`Z-CLD1'7q)/
Notarized Signadfre?LLIcense Holder 'd
CHRIS M 1HOAIFS
. y"'cN r
Notary Public State or Florida wom and s bscribed before me this day of fc b,.....I 20 11
Commission a`FF 993955
®a,A' My Comm.Expires Doe 15.2919 igoature of Notary Public !-
3�� 9mWed through National Notary Assn.