934 STOCKS ST 2015 ELEC CITY OF ATLANTIC BEACH
j 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: 15-ELEC-982
Job Type: ELECTRIC ONLY
Description: REWIRE 36 SWITCHES
Estimated Value:
Issue Date: 4/27/2015
Expiration Date: 10/24/2015
PROPERTY ADDRESS:
Address: 934 STOCKS ST
RE Number: 170955-0000
PROPERTY OWNER:
Name: FEDERAL HOME LOAN MTG CORP,
Address: 5000 PLANO PKWY
GENERAL CONTRACTOR INFORMATION:
Name: MILLENNIUM ELECTRICAL CONTRAT
Address: 6380 PHILLIPS HWY QA CHARLES MICHAEL EURILLO
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $21.60
Trade Permit Base Fee $55.00
Total Payments: $80.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/�,
Ph(904) 247-5826 Fax (904)247-5845
JOB ADDRESS: 911"e Old Cx,$ f7/''r e-11— PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ,'�'d AMPS .2 0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential(Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ 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 1110 1-I 50amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps [I CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: _3C)L_0-30amps 2 31-100amps 101-200amps
Appliances: 0-30amps _31-100amps 101-200amps
A/C Circuits: 1 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: I
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can C 1 Safety Inspection ❑Panel Change ❑OH to UG
Other: /�CC GJf/e -/o 61,-C,
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 Jobaci `-l'A.1 /� je G Phone Number
Electrical Company //f s.1 a Office Phone >�
Co.Address: (Y�C� �`ii !��✓ City ✓�c45oti--A� State/-L Zip_�Z2/4
License Holder(Print): ��,!/. t to Certification/Registration#CC' 13rf a
Notarized SigW#t9M KeWftr#ojWr
Notary Public Before me this l�� day of 20
State of Florida Signature of Notary Public
MY COMMISSION N0, FF 87720
Expires: January 30, 2018