1756 Atlantic Beach Dr 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
IOBINFORMATION:
Job ID: 17-ELEC-3487
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,000.00
Issue Date: 3/15/2017
Expiration Date: 9/11/2017
PROPERTY ADDRESS:
Address: 1756 ATLANTIC BEACH DR
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(004)247-5826 Fax(904)247-5845 " 7-E LC-f--34 87
JOB ADDRESS: 4*1aN1ic 6e-e-h � PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 24A' AMPS 7-YO VOLTS PHASE
VALUEOFWORES �o—
NEW SERVICE ❑ Overhead [Underground D Underground up Pole
DResidential(Main)Service
❑0-100amps ❑101-150amps ❑Tfl-200amps !- amps #of Meters_
Commercial(Main)Service
.'. 100amps E101-150amps ❑151-200amps - amps _CTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps 101-150amps D 151-200amps --amps #of Unit Meters
_-TemporaryPole imps
SERVICE UPGRADE '1 amps 7 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
G 100 amps G 150amps 200amps ;::,_____amps GCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUH.D-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 8/ 0-30amps 31-100amps. 101-200amps
Appliances: �0-30amps 31-100amps 101-200amps
A/C Circuits: l 0-60amps 61-100amps
Heat Circuits: —� #circuits (a3_ _I- kw
Number of Lighting Outlets, Including Fixtures: '!z
OTHER ELECTRICAL PROJECT
Swimming Pool = Sign moke Detectors Qty FTransforaters KVA GMotots_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WOES
REPAIRS/MISCELLANEOUS
'Replace Bur at/Damaged Meter Can GSafely Inspection ❑Panel Change COH to UG
Other
Permit beoomcs void if work does not Commence wfthin a six month period or work is suspended or abandoned for six mmNa 1 hereby certify that l have
read Nis 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 noL The permit dais not give authority to violate the provisions army other state or local law regulation construction or the performance of
Construction.
Property Owners Name "tom 8,04"1 Phone Number
Electrical Company M`&^1 c)j r'a' Office Phone Fax
Co.Address: 3L1l w- Fje&✓.✓ 'W= City Jr+x Stater Zip ¢..25
License Holder(Print): `p✓r A 1,4- State Celtification/Registration# lsZWo 1' '
/Notarized Signature ol'License Holder Q`�r- "
CHR'�s ni IN s worn and subscribed before me this '7' day of Ma .rte 2011
u°p nota,,public Sl leo V'o iva
Commission r FF 943955ignature of Notary Public ..�_ �•
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