1734 MARITIME OAK DR - ELECTRIC SS1
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3454
Job Type: ELECTRIC ONLY
Description: 200 amps/ 240 volts/ single phase - new single-family
electrical service
Estimated Value: $6,000.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 1734 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 3�St r
Ph (904) 247-5826 Fax (904)247-5845 1-£(,�_- �1
JOB ADDRESS: /-73 V (Vl ar, ry t 6,0),<_ cb✓ PERMIT# /( -S62 -083)
JEA INFORMATION REQUIRED ON ALL PERMITS 2 - AMPS Z`I b VOLTS I PHASE
VALUE OF WORK$ (,rWO. OD
NEW SERVICE ❑ Overhead Underground (1J Underground up Pole
[Residential(Main)Service
❑0-100 amps 101-150amps i5 1-200amps i__ amps # of Meters
ICommercial(Main) Service
E0-100 amps C 101-150amps 1151-200amps i- amps _!CT Service amps
Conductor Type Size
['Multi-Family(Main)Service
,. 0-100 amps . 101-150amps 151-200amps amps # of Unit Meters
.=Temporary Pole E amps
SERVICE UPGRADE amps i CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I00 amps C 150amps ..:200amps +_: amps -CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: (act 0-30amps 31-100amps 101-200amps
Appliances: (o 0-30amps 31-100amps 101-200amps
A/C Circuits: 2. 0-60amps 61-100amps
Heat Circuits: Z- # circuits @ S kw
Number of Lighting Outlets, Including Fixtures: LIZ-
OTHER ELECTRICAL PROJECTS
Swimming Pool E Sign moke Detectors (p Qty P Transformers KVA [I 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 Change L 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 Ri J4/5/at (-4MeS Phone Number
Electrical Company /t4'-opNo,- d c.r . c flzr I Office Phone 357d-9y-73 Fax "73t n /981
Co.Address: 32 / w- &6 v-v d'-- City J Stater Zip 322J7'
License Holder(Print): lC`'✓Y 6 C. State Certification/Registration# Cc. -6Z 1'.--)9
Notarized Si:nature of License Holder �- 7
pf/B�, CHRIS M.THOMAS rn oan subscribe before me this F--/-1--
c` day of ".,,.4,. 20 / 7
Ac,,^,�y, "-:.-s. Notary Public-State of Florida
•; IS! :• Commission # FF 943955 4..
1;;;;,,Z.:0',;,= M Comm.Expires Dec 15,201• gnature of Notary Public /L, c iy
''t,, ''A Bonded through National Notary Assn.