1756 ATLANTIC BEACH DR - TEMP POLE SS CITY OF ATLANTIC BEACH
.. ., 800 SEMINOLE ROAD
of ;r 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-3492
Job Type: ELECTRIC ONLY
Description: ELECTRIC - TEMP POLE
Estimated Value: $100.00
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
, EC0001794
Address: 6915 WEST BEAVER ST QA LARRY BRIAN CARTER
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 711E FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 1 7 - 0 c-341 Z
JOB ADDRESS: /7S2 Ake- - 8e44.1.- j r PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$ /UU .oU
NEW SERVICE ❑ Overhead (l Underground fl1 Underground up Pole
:Residential(Main)Service
_10-100 amps `101-150amps L 151-200amps amps #of Meters
=Commercial(Main) Service
70-100 amps 101-150amps :151-200amps - amps 22CT Service amps
Conductor Type Size
[Multi-Family(Main)Service
0-100 amps 7101-150amps `._;151-200amps 7 amps # of Unit Meters
:_Temporary Pole V 30 amps
SERVICE UPGRADE amps = CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
7100 amps =150amps 2200amps amps =CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
:Swimming Pool = Sign :Smoke Detectors Qty 7 Transformers KVA L 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 7.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 i3t..L 6'o �S Phone Number
Electrical Company /4.4 —f(o.t LAcf cC -cp4 1C� Office Phone Fax
Co.Address: 5yI t e,...,. au City cJ✓ * State 6- Zip 322SY
License Holder(Print): /...v,,,7 i 6.4-- State Certification/Registration# &.--Z-000 1"—ICY
Notarized Signature of License Holder 7}a-
•,;,�aY cue%
CHRIS M.THOMAS Sworn and subscribed before me this /f��= day of Mc-,� 20/?
r°, 4V'T. Notary Public .State 01 Florida
•: :•i Commission #FF 943955 Signature of Notary Public "7'
%,9,_:1Po? My Comm.Expires Dec 15.2019
:;‘'s Bonded through National Notary Assn ,