1491 LINKSIDE DR - ELECTRIC s 0 \1 fJ�'
CITY OF ATLANTIC BEACH
P al 1) 800 SEMINOLE ROAD
J 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-1800
Job Type: ELECTRIC ONLY
Description: repair 4 outlets, 2 fixtures
Estimated Value: $1,000.00
Issue Date: 8/8/2016
Expiration Date: 2/4/2017
PROPERTY ADDRESS:
Address: 1491 LINKSIDE DR
RE Number: 172374-6025
PROPERTY OWNER:
Name: MARCHANT, GERALD E.& REGINA, *
Address: 1491 LINKSIDE DR
GENERAL CONTRACTOR INFORMATION:
Name: Starlight Electrical Solutions LLC
Address: 6999-02 Merrill RD
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Lighting Outlets, Including Fixtures $3.60
Trade Permit Base Fee $55.00
Total Payments: $62.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITII ALI. CITY OF Al LANTIC BEACH ORDINANCES AND 711E FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: %y-q 1 n�S,,:\.a. iv•Q. PERMIT# i 10' 6 L 6C--
re co
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JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead 0 Underground ❑J Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Meters
❑Commercial(Main)Service
❑0-100 amps 0 101-150amps El 151-200amps ❑ amps ❑CT Service amps
Conductor Type Size .
0 Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS RPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: k 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 0 Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$ ((100. WO
REPAIRS/MISCELLANEOUS
E7 Replace Burnt/Damaged Meter Can CI Safety Inspection ❑Panel Change uOH to UG
LI 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 QAC Cl..'C& MQ i(--V\a f.k. Phone Number
Electrical Company Skarkt450t E14..efika '5.0kAI o...s iLC Office Phone Fax
Co. Address: 6999-o). Ms,L1 Ai taor ?)-?. City Tac.Kso"Vnit State '.C. Zip 3) -i?
License Holder(Print): .a.. o h ---5101:,LI r e.. State Certification/Registration# i;413o1'3 8—
Notarized Signature of License Holder lUe.miov• --5o0.04 R-
"'"r,�;: DAYNA K mums Before me this �1 lk day of A. u.st 20 i le
.
;,r ,., ,MY COMMISSION I FF 217841 ��
�'...%�.:a EXPIRES:August 7,2019 Signature of Notary Public IA,
-4,0:p` Bonded Thru Pbtary Pubic Und.n len
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