934 STOCKS ST ELEC SAFETY 2015 CITY OF ATLANTIC BEACH
f 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-1756
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - SAFTEY
Estimated Value:
Issue Date: 7/22/2015
_Expiration Date: 1/18/2016
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 IS (7 5/f
Ph (904) 247-5826 Fax (904) 247-5845 '/�
,JOB ADDRESS: / `� % �� U rl"4 c� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS e c Q AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground E3Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps 1151-200amps amps #of Meters
Commercial(Main) Service
C i 0-100 amps ❑101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
❑0-100 amps -110 1-1 50amps 1151-200amps `-I-amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE LI-amps ! I CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps amps Li 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-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign Ll Smoke Detectors_Qty El Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of p;afety
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
'Replace Burnt/Damaged Meter Can Inspection ❑Panel Change 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 Phone Number
Electrical Company lle h/7'li m CGU f/� '/'s 1�(Office Phone W%IA�41 )JFax
Co. Address: }0, `'' ���_f r Vt
' y T� X State FL Zip �12l6
License Holder (Print):MarionBrd v to Certification/Registration# /7-C-§d
Nli ignature gJNr ,?LffII
State Of FIOrdgworn and subscribed before me this day of u 20 1 S
MY COMMISSION NOSFji a7i7r19bf Notary Public
Expires: January 30, 2018