1781 Atlantic Beach Dr new elec permit -i'y1,yf
r l,,
CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
o ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
J;;19'"
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3521
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,000.00
Issue Date: 3/17/2017
Expiration Date: 9/13/2017
PROPERTY ADDRESS:
Address: 1781 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(904)247-5826 Fax(904)247-5845 17-ELF_C-35 Z l
JOB ADDRESS: 178 / A�n /c--tt; 1&o-,4 A., PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Zoo AMPS 2`xOVOLTS PHASE
VALUEOFWORKS 71000
NEW SERVICE ❑ Overhead Underground Ql Underground up Pole
CResidential(Main)Service
00-100 amps 101-150amps x111-200amps ❑ amps #of Meter
Commercial(Main)Service
;;-0-700 amps ❑101-150amps ❑151-200ampsamps _Cl Service amps
Conductor Type Size
❑Multi-Family(Main)Service
u0-100amps 7.107-150amps D151-200amps — amps #of Unit Meters
Temporary Pole ❑ amps
SERVICE UPGRADE ':! amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100amps C150amps200amps C amps CCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: '76 0-30amps 31-100amps 101-200amps
Appliances: 5- 0-30amps 31-100amps 101-200amps
A/C Circuits: Z 0-60amps 61-100amps
Heat Circuits: -1 # circuits Q_5_kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
-Swimming Pool ❑ Sign 3Smoke DetectorsSQty riTransformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can L'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 1 have
reed this application and know the some to be true and ourreoL All provisions of laws and ordinances governing this work will be complied with whether
specified or noL The permit does not give authority to violate the provisions ofany other state or local law regulation construction or the performance of
construction. -
property Owners Name R";,S,64 kk4,L S Phone Number
Electrical Company /VC c1,5eH GC4 LPLII Office Phone Fax
Co.Address: 3ZA I //wC • 4co`t ff�• City r1� State FL Zip 3Zz3ti/
t
License Holder(Print): State Certification/Registration# L f oW f
Notarized Signature of License Holder
orn and subscribed before me this /%t day of p1a-.c, 20I�
•�::"dim„, CHRIB M.iMOMAS �
Narary public-State of Blolldd ignature of Notary Public G A x• l
Commission Y Ef 943955
My comm.6pires Dec 15.2019
Bonaea IhrovgM1 Nalianai xoimy asn