435 Atlantic Blvd McDonald's 16-ELEC-202 elec for sign permit ✓J;x
Nr r " `S 6 CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
'r 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: 16-ELEC-202
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - FOR MCDONALD'S SIGN
Estimated Value:
Issue Date: 1/28/2016
Expiration Date: 7/26/2016
PROPERTY ADDRESS:
Address: 435 ATLANTIC BLVD
RE Number: 170694-0000
PROPERTY OWNER:
Name: FRANCHISE REALTY INTERSTATE
Address: PO BOX 49189 MCDONALD'S
GENERAL CONTRACTOR INFORMATION:
Name: SHARK SIGNS OF NE FL INC
Address: 7030 N MAIN ST
JKVL FL 32208-4730
Phone: 904-318-7728
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Sign $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 /
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 435 Atlantic Beach Atlantic Beach, FL 32233 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS n VOLTS PHASE
VALUE OF WORK$ IDS VLOO 0°
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
i10-100 amps ❑101-150amps F1151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT 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 [1 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: 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
17,1 Swimming Pool Sign ❑Smoke Detectors_Qty []Transformers KVA []Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
Other: New illuminated monument sign
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 Mcdonald's Corporation Phone Number 772-486-4190
Electrical Company Shark Signs of NE FL, Inc. Office Phone 904-766-6222 Fax 904-766-0222
Co.Address: 7030 North Main St. City Jacksonville State FL Zip 32208
License Holder (Print): Donny Cagle State Certification/Registration# ES12000498
Notarized Signature of License Holder
Sworn and subscribed before me this 7thay of January �\,�:"11111111 626 16
Signature of Notary Public P� �assloN•.oy