1473 LINKSIDE DR -ELECTRIC ,,,„,.,..,..,e.,
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CITY OF ATLANTIC BEACH
> 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
'",.e;; r' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0213
Description: 200 amps/240 volts/third phase- breaker change
Estimated Value: 175
Issue Date: 12/15/2017
Expiration Date: 6/13/2018
PROPERTY ADDRESS:
Address: 1473 LINKSIDE DR
RE Number: 172374 6005
PROPERTY OWNER:
Name: WOODARD DANNY MICAH
Address: 1473 LINKSIDE DR
ATLANTIC BEACH, FL 32233-4394
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
Phone:
Name: R & R ELECTRIC COMPANY
Address: P 0 BOX 60665 P.O. BOX 60665
JACKSONVILLE, FL 32236
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: 1473 LINKSIDE DR PERMIT# / & S t O`�.13
JEA INFORMATION REQUIRED ON ALL PERMITS c2)O AMPS Pip VOLTS PHASE
VALUE OF WORK$ $j 115 '00
D
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
[Residential (Main) Service
❑0-100 amps ❑101-150amps -'151-200amps ❑ amps #of Meters
:Commercial(Main)Service
❑0-100 amps ❑101-150amps 151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
:Multi-Family(Main)Service
0 0-100 amps 101-150amps U 151-200amps r 1 amps #of Unit Meters
[Temporary Pole P amps
SERVICE UPGRADE U amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[100 amps [150amps 71200amps [. amps [CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps __ 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool [ Sign [Smoke Detectors Qty ]Transformers KVA :Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[Replace Burnt/Damaged Meter Can [Safety Inspection [Panel Change [JOH to UG
[u(Other: Breaker Change
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:Denis Woodard Phone Number: 247-7965
Electrical Company: R&R Electric Of North Fl Office Phone 754-5555 Fax
Co. Address: PO BOX 60665 City Jacksonville State FL Zip 32236
License Holder (Print): Robert A Sallette iii ó,L to rtification/Registration#
Notarized Signature of License Holder k�
1341
r Sworn and subscribed before m•this /y day of ' e . 2017
,+,44_" KAREN IS HENDERSON Q h j Il J fu 1A�^�
?=': MY COMMISSION#GG080261
Signature of Notary Public
EXPIRES March 07,2021
(414,401, ,,,,„
Cash Register Receipt Receipt Number
-Wr City of Atlantic Beach R3708
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $94.00
ERES17-0213 Address: 1473 LINKSIDE DR APN: 172374 6005 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R3708 $94.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
12,15;2017 13:05:02
CREDIT CARD
VISA SALE
Card» XXXXXXXXXXXX8999
SEQ;: 2
Batch;: 504
INVOICE 2
Approval Code: 05069B
Entry Method: Manual
Mode: Online
Card Code: M
SALE AMOUNT $94,00
CUSTOMER COPY
Date Paid: Friday, December 15, 2017
Paid By: R & R ELECTRIC COMPANY
Cashier: BA
Pay Method: CREDIT CARD 2
Printed: Friday,December 15,2017 1:20 PM 1 of 1
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