1132 Linkside Dr temporary pole 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
JOB INFORMATION:
Job JD:
17-ELEC-3184
Job Type:
ELECTRIC ONLY
Description:
100 amps/ 240 volts/ single phase - temporary pole
Estimated Value:
$100.00
issue Date:
2/6/2017
Expiration Date:
8/5/2017
PROPERTY ADDRESS:
Address:
1132 LINKSIDE DR
RE Number:
172374-5020
PROPERTY OWNER:
Name:
Address:
Armour, William
GENERAL CONTRACTOR INFORMATION:
Name: MILLENIUM ELECTRICAL CON. INC
,EC33001449
Address: 6380 PHILLIPS HWY QA CHARLES MICHAEL EURILLO
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $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.
ATLANTIC BEACH
PERMIT RECEIPT
February 6, 2017
PERMIT DESCRIPTION: 100 amps/ 240 volts/ single phase -temporary pole
PERMIT NUMBER: 17-ELEC-3184
ADDRESS: 1132 LINKSIDE DR
OWNER:
State Elec DBPR Surcharge
$2.00
State Elec DCA Surcharge
$2.00
Temporary Electrical Service
$35.00
Trade Permit Base Fee
$55.00
Totals:
$94.00
PAID
FEB 06 2017 C �
CITY OF ATLANTIC BEACH
CT
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd. Atlantic Beach, FL 32233
Ph__(904)247-j\826 Fax 14—L(,jzL—%( gcj
JOB ADDRESS: 3 2 G,// 6 r CC9S r PERMIT M
JEA INFORMATION REQUIRED ON ALL PERMITS {OU AMPS 2'(U VOLTS PHASE
SERVICE UPGRADE _amps CT Serviceamps
v
a /
10 D
CTServioe amps
VAALUEOFWOREE
STRUCTURES, ETC.
NEW SERVICE El Overhead
,�/V
EUnderground
❑1 Underground up Pole
Residential (Main) Service
A/C Circuits: 0-60amps 61-I00amps
0-100 amps 101-150amps
151-200amps
amps #of Meters_
Commercial (Main) Service
OTHER ELECTRICAL PROJECTS
0-100 amps 101-ISOamps
151-200amps
amps 'CT Service amps
Conductor Type
Sire
REPADISIMISCELLANEOUS
Multi -Family (Mdo) Service
Replace BumNDamaged Meter Can Safety inspection
Panel Change OH to UG
100 amps 101-ISOemps
151-200amps
_amps #of Unit Meters_
emporaryPok /00 amps
SERVICE UPGRADE _amps CT Serviceamps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
-IOOamps 150amps 200amps amps
CTServioe amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS. ACCESSORY
STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-I00amps
101-200amps
Appliances: 0-30amps 3i-I00amps
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 Smoke Detectors _Qty Transformers KVA Motors his
FIRE ALARM SYSTEM (Requires 3 uta of plum)
Qty voltsfamps
VALUEOFWOESS
REPADISIMISCELLANEOUS
Replace BumNDamaged Meter Can Safety inspection
Panel Change OH to UG
Other: J f r a 0 e tJ �
Permit becomes void if work does not conmmec within a six month period or words is suspended or abandoned for six months. I hereby certify that I no
read this applicsion and know the same to be one and exmext. All provisions of laws and ordimoces governing this work will he complied with witMcr
speciaed or no. The pomit does not give amhority 10 violate the provisions of any other state or local law regulation construction or the perfonrunce of
consuuction.
Properly OwnersName W • I I r; rvk Itl.r-a•+in Phone Number
Electrical Company th.t<h ,.^��^ v. fr • tJ' Office Phone %94`- 4`day Fax
p
Co.Address: 44&1 �IOrc //f A%,✓y 'ty 1%k State Zip 121
License Holder (Print): f/• # tate CertiYication/Registmtion# �'UYOWiyys
Notarized Signature of License Ho/der
� Sworn and subscribed bef this day of_jR20-9—
Signature of No Pub. I
.,C iiY ��,o' CaorarenxnRalor 8 �Y
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