1132 Linkside Dr elec repair permitCITY 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:
17-ELEC-3171
Job Type:
ELECTRIC ONLY
Description:
ELECTRIC REPAIR
Estimated Value:
Issue Date:
2/6/2017
Expiration Date:
8/5/2017
PROPERTY ADDRESS:
Address:
1132 LINKSIDE DR
RE Number:
172374-5020
PROPERTY OWNER:
Name: Armour, William
Address:
GENERAL CONTRACTOR INFORMATION:
Name: MILLENIUM ELECTRICAL CON, INC
EC13001449
Address: 6380 PHILLIPS HWY QA CHARLES MICHAEL EURILLO
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
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: / / 3 2 !- Sr df PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS x 6 () AMPS 2 q D VOLTS % PHASE
NEW SERVICE ❑ Overhead
-; Residential (Main) Service
-0-100 amps _I101-150amps
]Commercial (Main) Service
I -.0-100 amps ' 1101-150amps
Conductor Type
'.;Multi -Family (Main) Service
10-100 amps '101-150amps
J Temporary Pole 100 amps
Size
VALUE OF WORKS
Underground D Underground up Pole
/51-200amps
amps
#of Meters
C 151-200amps
amps
❑CTService_amps
.151-200amps
amps
# of Unit Meters
SERVICE UPGRADE amps L CT Service _ amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
-.100 amps 1150amps '200amps amps C. CT Service _ amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: _70 -30amps 1 31-100amps 101-200amps
Appliances: _ O-30amps 31-100amps 101-200amps
A/C Circuits: / 0-60amps 61-100amps
Heat Circuits: --I— # circuits @ kw
Number of Lighting Outlets, Including Fixtures: I S'
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty (Transformers KVA Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty _ voltslamps VALUE OF WORK $
REPAIRSIMISCELLANEOUS
-.Replace Bumt/Damaged Meter Can Saftny Ins iie '�lPanel Change OH to OG
Other: j2ipo r
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 1 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
Electrical Company /)
Co. Address:
License Holder (Print):
6 4 eW /A%r e"r Phone Number
.rt AfecfJ', 1LA Office Phone rax
-Acity J >0 State f'lzip '2Z/ i
�r,✓llln /��_ State Certification/Registration #F/JOUo/'/c/cf
Notariled Signature of License Holder / 2
'r�. SA � Sworn and subscribed b fore e s "J�� � day o ��Y1 20
f -S w Signature of Notary Pu u, I! n �1 y
4iF
CIiV OF ATUMIC BEACH
a SEMINOLE RD
ATUMIC BEAC, Fi 32233
07j0612017
,20'.29
CREDIT CARD
VISA SAIF
Cad # mf ummo 0
SEQ #:
1
295
BaFdt #,
INVOICE
Ipnmal Cade,
636915
636915
M *hd:
Mau:
Mode,
OnTm
In Wroud'
$0.00
M
Fad coda:
SALE AMOUNT
$94m
CUSTOMER copy
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, R 32233
PHONE (904) 247-5826
Cashier Id: atlbcldiatlbbja
Receipt Date: 2/6/2017 8:20:31 At
Receipt Number: OS -72359
Job ID: 17-ELEC-3171 - ELECTRIC
PR - State Elec OBPR Surcharge
Joh ID: 17-LUC-3171 - ELECTRIC
A - State Elec DCA Surcharge $2
Jah ID: 17-E EC -3171 - ELECTRIC
8 - Electrical Repairs $35.00
Jab ID: 17 -EI -EC -3171 - ELECTRIC
- Trade Permit Base Fee $55.00
Amount Due: $94.00
Tender Information: Cash $94.00
Tender Type: CC
Tender Amount: $94.00
Change Due: $0.00