317 8TH ST - ELECTRIC TEMP POLE CITY OF ATLANTIC BEACH
SS 800 SEMINOLE ROAD
J r ;, ATLANTIC BEACH, FL 32233
\ / INSPECTION PHONE LINE 247-5814
<`JF�l>r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
1 Job ID: 17-ELEC-3030
Job Type: ELECTRIC ONLY
Description: ELECTRIC- TEMP POLE
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
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904)247-5826 Fax (904)247-5845 j 7- E,L EC- 3030
JOB ADDRESS: gr? gam' S7- PERMIT# /6-.56e- Z(1°"/
JEA INFORMATION REQUIRED ON ALL PERMITS Z- AMPS ZY U VOLTS I PHASE
VALUE OF WORK$ 1•^,2)0• 00
NEW SERVICE ❑ Overhead n Undergrou'' _ . Underground up Pole
0Residential (Main) Service
00-100 amps i 101-150amps 4i0amps !_ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps 03101-150amps [1151-200amps 7 amps C1CT Service amps
Conductor Type Size
(Multi-Family(Main)Service
1.10-100 amps r 101-150amps LI 151-200amps 1 1 amps #of Unit Meters
Li porary Pole 0 30 amps
SERVICE UPGRADE CI amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
L.100 amps U 150amps 111200amps I_. amps ❑CT Service amps
ADDITIONS,REMODEI `',REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: t '_0-30amps 31-100amps 101-200amps
Appliances: '_0-30amps _31-100amps 101-200amps
A/C Circuits: ^-60amps _ _61-100amps
Heat Circuits: " .. '`� Q _k
_
Number of Lighting 0 it s, Incluah.b r•
OTHER ELECTRICAL PROJECTS
_'Swimming Pool :: Sign 'Srmoke Detectors_(0 1ty ;:'Transformers KVA GMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
11Replace Burnt/Damaged Meter Can ! Safety Inspection LiPanel Change 110H to UG
DOther:
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
-ead 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
upecified 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
:onstruction. '
Property Owners Name i C/wo-� l f Phone Number
Electrical Company 4441 N Jo <_ L Office Phone S Y-N Fax
To.Address: 32/l e"-'. /Ia't' City J►'" State 6- Zip 32237
License Holder(Print): 2_0,r- 8 e State ertification/Registration# L-000 0 IL/
<.o,'r• '! ,5.i' ':,C.u. ' ' e ilder ��e
• .••Par r4;B,, CHRIS M. THOMAS
N /Y -,1-( Notary Public -State of Florida Sworn and subscribed before me this 1-7day of -c-^4 1 20 11
=•: '! w •- Commission # FF 943955 '
'''';t %��Po:' My Comm.Expires Dec 15.2019 Signature of Notary Public C/L
�'�'°� Bonded through National Notary Assn. ,Xe,‘,---
1.0
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