1667 ATLANTIC BEACH DR - ELECTRIC1
�" ' '' •\s, CITY OF ATLANTIC BEACH
.� SEMINOLE
:-) 800 ROAD
j ATLANTIC BEACH, FL 32233
\ N\ 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-3453
Job Type: ELECTRIC ONLY
Description: 200 amps/ 240 volts/ single phase new electrical service
Estimated Value: $7,000.00
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 1667 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: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)\247-5845 (1_ ��_ 14..S.
JOB ADDRESS: I IP(D 1 4jc rq ti 6 et-C In JJ.- PERMIT#
,IEA INFORMATION REQUIRED ON ALL PERMITS 0°U AMPS Z'i U VOLTS ( PHASE
VALUE OF WORK$ 7, 000
NEW SERVICE E Overhead Underground J Underground up Pole
D Residential (Main)Service
:_0-100 amps :101-150amps _T1-200amps ._. amps #of Meters
-Commercial(Main)Service
.0-100 amps 101-150amps _151-200amps 7 amps -CT Service amps
Conductor Type Size
DMulti-Family(Main)Service
20-100 amps 7101-150amps `_i 151-200amps ---. amps # of Unit Meters
T emporary Pole L amps
SERVICE UPGRADE amps _ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
':-100 amps 2 150amps 2200amps amps -CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ,9/ 0-30amps 31-100amps 101-200amps
Appliances: (, 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: 2- 11 circuits @ r kw
Number of Lighting Outlets, Including Fixtures: YZ
OTHER ELECTRICAL PROJECTS
_Swimming Pool - Sign ?Smoke Detectors & Qty 7Transformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
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 l0«- a✓arS Phone Number
Electrical Company /t4(-/ Or./tip/ £(4- r'zi t Office Phone Fax
Co.Address: 32./l W- LA../ OrT City J State g-- Zip T22S1/
License Holder(Print): ✓'r State Certification/Registration# &.°00 ( 7 `"1
Notarized Signature of•License Holder ' a
"iT,, CHRIS M. THOMAS _L b day of /14c,-,4 20 f 7
,���Rr Pia, .worn . d subscribed before me this
;'r°,�.-s Notary Public-State of Florida
N �N� :• Commission #FF 943955 „ignature of Notary Public '`1
j,,.��,9 My Comm. Expires Dec 15.2019 /
Bonded through National Notary Assn.