1680 MARITIME OAK DR - ELECTRIC NEW SERVICE �' I� 's, CITY OF ATLANTIC BEACH
�°`' f 800 SEMINOLE ROAD
Kt" ~`��' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
,�J i-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3654
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICE 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,000.00
Issue Date: 4/3/2017
Expiration Date: 9/30/2017
PROPERTY ADDRESS:
Address: 1680 MARITIME OAK 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
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233 //!!
Ph(904)247-5826 Fax (904)247-5845 t -7 -ELS4
.- 3 (nS -
JOB ADDRESS: I CP go Mater tt. ckeitz b -. PERMIT# ((.o-SfR - Z8
JEA INFORMATION REQUIRED ON ALL PERMITS 2v b AMPS Z`I O VOLTS ( PHASE
VALUE OF WORK 71d0O• oO
NEW SERVICE E Overhead 1-4/Underground J Underground up Pole
:✓residential(Main)Service
i0-100 amps 1101-150amps E4 1-200amps C amps #of Meters
Commercial(Main) Service
-0-100 amps 101-150amps -151-200amps - amps ._-.QCT Service amps
Conductor Type Size
'Multi-Family(Main)Service
_0-100 amps 101-150amps 151-200amps amps # of Unit Meters
=Temporary Pole amps
SERVICE UPGRADE amps 1. CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
-100 amps _150amps _200amps 2 amps -CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 7`1 0-30amps 31-100amps 101-200amps
Appliances: 5- 0-30amps 31-100amps 101-200amps
A/C Circuits: X. 0-60amps 61-100amps
Heat Circuits: v # circuits @ kw,,
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool T Sign 2Smoke Detectors Qty TTransformers KVA EMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can !..Safety Inspection TPanel Change 2OH 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 gI vozs 1 Cr Phone Number
Electrical Company /'4`"Do^I�a Pe trek. Office Phone 9Ll73 Fax
Co.Address: 3z-► ( w- °��'`' �� City J State fc Zip 322-N
License Holder(Print): LG/ l3 C ✓ State Certification/Registration# L Coo 119 U
a i d ian tr a i e !der
CHRIS M.THOMAS ,.d
�a� 7017
;_�;--,1.�; Notary Public•State of Florida Sworn and subscribed before me this� day of ��,•t
•: �!• .•= Commission #FF 943955
=r ',- ' MyComm.Expires Dec 15,2019 Si ature of NotaryPublic ,._ •
,'"' ''a�''• Bonded through National Notary Assn.