1605 LINKSIDE DR ELECT `s, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 15-ELEC-1069
Job Type: ELECTRIC ONLY
Description: 20 fixtures
Estimated Value:
Issue Date: 5/6/2015
Expiration Date: 11/2/2015
PROPERTY ADDRESS:
Address: 1605 LINKSIDE DR
RE Number: 172374-6105
PROPERTY OWNER:
Name: MUTH, JULIA ANN
Address: 1605 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: BEACHES ELECTRIC SERVICES INC.
Address: 214 COKESBURY CT QA TODD ASTOR LOCKWOOD
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Electrical Appliances $2.00
Switch Outlets $1.80
Lighting Outlets, Including Fixtures $9.60
Trade Permit Base Fee $55.00
Total Payments: $72.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH ` d u I
800 Seminole Rd, Atlantic Beach, FL 32233
I _ Ph (904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: � s PERMIT #
10
JEA INFORMATION REQUIRED ON ALL PERMITS �' AMPS ? VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential(Main) Service
110-100 amps 11101-1 50amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main)Service
❑0-100 amps [110 1-15 Oamps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 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 ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: ? 0-30amps 31-100amps 101-200amps
Appliances: t 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 ❑ 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 Ll Safety Inspection ❑Panel Change 11 OH 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 Name ,CA--6Uj Phone Number
nn �
Electrical Company -�3 (V&fice Phone UJ-3( F Fax
Co.Address: ( Co City Cg C_'s State ` Zip J`�3
License Holder(Print): cd c� C-1)Jc State Ce5011T�tion
Notarized Signature of License Holder —�� �1 �,
JENNIFERWALI�R Before me this ay of rnq v1 20 S
... :
MY COMMISSION#FF 011480
EXPIRES:April 24,2017 Signature of Notary Public
RF fl�• Bonded Thru Notary Public Underwriters