570 Coastal Oak Ln new elec permit CITY OF ATLANTIC BEACH
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-3488
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $6,500.00
Issue Date: 3/15/2017
Expiration Date: 9/11/2017
PROPERTY ADDRESS:
Address: 570 COASTAL OAK LN
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: MCDONALD ELECTRIC
, E00001794
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845 1 -7- ELCO—' 3 4 8
JOB ADDRESS: 57O Co.5 �aj f))x'9rc t,4 PERMIT#
LEA INFORMATION REQUIRED ON ALL PERMITS 2 '0 AMPS 2`fU VOLTS PHASE
VALUEOFWORKS &ISDO
NEW SERVICE ❑ Overhead Eg'foderground D Underground up Pole
--DResfdential(Main)Service
a0-100 amps -101-150amps 'Tff 1-200amps G amps #of Meters
-Commercial(Main)Service
:0-IOO amps 0101-150amps E 151-200amps - amps -'CT Service_amps
Conductor Type Size
0-Maki-Family(Main)Service
d0-1 OO amps :7101-150amps u151-200amps F amps #of Unit Meters_
TemporaryPole amps
SERVICE UPGRADE '-I—amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7100 amps G 150amps 1:1200amps amps F'CT Service_amps
ADDITIONS,REMODELS,REPAHL%BUHA-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 70 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: Z # circuits ® -5-- low
Number of Lighting Outlets, Including Fixtures: _yZ
OTHER ELECTRICAL PROJECTS
Swimming Pool ❑ Sign _S<moke Detectors my ,Transformers KVA ^_Momds_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAU2S/MISCELLANFOUS
lReplace Burn/Damaged Meter Can 'L Safety Inspection ,Panel Change ❑OH to UG
_Other
Penni[becomes void ifevork 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 coned All provisions of laws and ordinances governing this work will be complied with whether
specified or not The pens¢does not give authority to violate the pmvfsions ofany other state or local law regulation construction or the performance of
construction. /� -
Property Owners Name '/.aL,- (3✓J 0--f Phone Number
Electrical Company PA'r_ION
droll G'«�FM Office Phone .3"''f-i_? Fax 7eA'fgj?`1
Co.Address: City )"'C StaterL- Zip 32419
License Holder(Print): 44-6, 7 State ertification/Registration#
Notarized Signature ojLieense Holder CVL�yf-�
... , CHRISM.iH@dASµ worn and subscribed me this 7y� day of 20 /7
Notary Public-Slate of Florida
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commission a FF 943955 f Notary Public
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