1644 MARITIME OAK DR ELECT PERM ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0059
8
ISSUED: 2/19/2019
00 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/18/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITION1 OF • '
CODE, OF • OF ORDINANCES .
ALL CONDITIONS OF . .
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1644 MARITIME OAK DR ELECTRICAL RESIDENTIAL NEW SERVICE $3500.00
TYPE OF •
ZONING: : • •
• • GROUP:
169505 1935 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
MCDONALD ELECTRIC 6915 WEST BEAVER ST JACKSONVILLE FL 32254
• ADDRESS:
TOLL FL VI LIMITED 250 GIBRALTAR RD HORSHAM PA 19044
PARTNERSHIP
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF • •
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $129.00
Issued Date: 2/19/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
.II
Ph(904) 247-5826r Fax (904) 247-5845 (� S 19_ 6) O S1
JOB ADDRESS: [(p44 � !M!GRA ti Mp, �l{ b�. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2,00 AMPS Z40 VOLTS PHASE
VALUE OF WORK$ 35W. '
NEW SERVICE ❑ Overhead Underground ❑1 Underground up Pole
'residential (Main) Service
L110-100 amps C 101-150amps )(151-200amps []_amps # of Meters
Commercial(Main) Service
u0-100 amps 7101-150amps 151-200amps ❑ amps _;CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 amps 1101-150amps 151-200amps ❑ amps # of Unit Meters
Temporary Pole 1 amps
SERVICE UPGRADE _ amps EJ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps Ci 150amps 71200amps amps EICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 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 L= Sign '--'Smoke Detectors_Qty FTransformers KVA 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 ',Panel Change OH to UG
P 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 75// r rrok `Qrs Phone Number
Electrical Company_MeL22Qa,9e —Office Phone*Q J-W'7Fax94fl-iN.6- /fg�
Co. Address: ��// 6-ea zb 6T CIty(J2C1Soi9V/116 Stater/, Zip3T.Z5�-I
License Holder (Print): CQ State ification/Registration# 6CE00l7915"
Notarized Signature of License Holder �.
��.',,p�,, CHRIS M.THOMAS uVom d subscribed before me this �day of ��b�4�.y 20)g
e
°; ,` Notary Public State of Florida
o Commission# FF 943955
='• ignature of Notary Public
y� My Comm.Expires Dec 15.2019
���'F0.+ Bonded through National Notary Assn. '