317 8TH ST - ELECTRIC NEW SERVICE r " (1, CITY OF ATLANTIC BEACH
A 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-3031
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW SERVICES 200 AMPS, 240 VOLTS,
SINGLE PHASE
Estimated Value: $7,000.00
Issue Date: 1/18/2017
Expiration Date: 7/17/2017
PROPERTY ADDRESS:
Address: 317 8TH ST
RE Number: 169956-0100
PROPERTY OWNER:
Name: RUSSELL LIFE ESTATE, EDWARD L, *
Address: 317 8TH ST
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 — 3O3
Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS: 3/-2 gam' S% PERMIT# /6—S 26 0`/
JEA INFORMATION REQUIRED ON ALL PERMITS Zc5") AMPS ZY U VOLTS / PHASE
VALUE OF WORKS 7r 060. vU
NEW SERVICE ❑ Overhead ❑ Underground [underground up Pole
LiResidential (Main)Service
LO-100 amps 1101-150amps -200amps amps #of Meters
• -Commercial(Main)Service
F0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
LMulti-Family(Main)Service
Li0-100 amps !1_01_-1`^w:i s ;_:151-200amps amps # of Unit Meters
tmporary
SERVICE UPGRADE amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
• 100 amps 150amps '200amps amps :CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 3/ 0-30amps 31-100amps 101-200amps
Appliances: (0 0-30amps 31-100amps 101-200amps
A/C Circuits: L 0-60amps 61-l 00amps
Heat Circuits: Z # circuits @ S.` kw '/
Number of Lighting Outlets, Including Fixtures: 7 /
OTHER ELECTRICAL PROJECTS
Swimming Pool ii Sign smoke Detectors 6 Qty 'Transformers KVA [ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK
REPAIRS/MISCELLANEOUS
1- Replace Burnt/Damaged Meter Can Safety Inspection -'Panel Change I .01-I 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 Namewo:tA, frk Phone Number
Electrical Company /144.9,11 Iv ('. Office Phone 3" S`i Fax
Co. Address: 3Z t/ / Qc 1' SI-. City J State f- Zip 322SZ/
License Holder(Print): /-e'7' /.� C�,i State ertification/Registration#
o • r i- r u, i e ,Ider e•
—P�,, CHRIS M.THOMAS IF1
;?, ,1;V : Notary Public•state of Florida Sworn and subscribed before me this // day of --14^-�--I 20 11
•: !� ; Commission # FF 943955
p`,. My Comm.Expires Dec 15.2019 Signature of Notary Public �-i •
''�O P-°0's
Bonded through National Notary Assn.