Permit Elec 97 B Dudley 2010 4, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001353 Date 11/08/10
Property Address 97 DUDLEY ST B
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
water heater timer
Owner Contractor
JACKSONVILLE HOUSING AUTHORITY VANGUARD ELEC CONTRACTORS
2375 ST JOHNS BLUFF RD S
ATLANTIC BEACH FL 32233 STE 310
JACKSONVILLE FL 32246
Permit ELECTRICAL PERMIT
Additional desc .
Permit Fee . . . 57.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/07/11
Other Fees STATE ELEC DCA SURCHARGE 2.00
STATE ELEC DBPR SURCHARGE 2.00
Fee summary Charged Paid Credited Due
Permit Fee Total 57.00 57.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.00 4.00 .00 .00
Grand Total 61.00 61.00 .00 .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
. 013 ADDRESS: i', bAjcSt \ e_i - � PERmrr#
FEW SERVICE 00verhead 0 Underground 0 Underground up Pole
°Residential (Main). Service
00-100 amps 0101-150an3ps 0151-200amps 0 amps # of Meters
°Commercial (Main) Service
00-100 amps 0101-150amps 0 151-200amps 13 amps OCT Service amps
Conductor Type Size
0Multi-Family (Main) Service
00-100 amps D101-150amps 0151-200amps 0 amps # of Unit Meters
°Temporary Pole 0 amps
ERVICE UPGRADE 0 amps 0 CT Service amps
FEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
,DDMONS, RIEMODKLS, REPAIRS, BUILD-OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31 -1Namps 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:
YTHER ELECTRICAL PROJECTS
°Swimmin,g Pool 0 Sign 0 Smoke Detectors Qty °Transformers KVA 0Motors , bp
IRE ALARM SYSTEM (Requires 3 sets of plans & Ere Alarm Checklist)
Qty volts/amps VALUE OF WORK $
tEPAIRS/MISCELLANEOUS
°Replace Burnt/Damaged Meter Can D Safety Inspection 13Panel Change DOH to UG
' •
)Other. 1 ivw r . \ Dc C / (..10(1)4/le tt
t ilecoTot-F void if -work does not commence within a six month period or work is suspended or ahandceed for six months. 1 hereby certify thst I have
:aa dliN akylit;:ii.jUil aLtd kli;JVC^ til... Z.:1111:: tO te'e tliC and .rect. it provisions of laws and ordinances governing this work will be cornplie.d with wiled:ter
iecified or not. The permit does not give authority to violate the provisions of any other state or local law regeiatien eouz,uu.
anstruction.
'rope:fry Owners Name Phone Number
: I e e t r i c a l C o m p a i r j j s • 1 C Q Cu Office Phone 02 1 S Fax 3.-r4c:!‘
;to. Address: 3 / vru 6 L'19 :5•Di Cit ()_Ak State ?-). Zip 3a?-.9.(--
A muse H (g C . epei r r , / t (t LA-V* e CQ-- Stertifi cionJReisfration# E C / 30037 i
Votarized Signolure of LieeFfSe Hader Z-
Sworn. and subscribed before me this 75 day of 1000' 20 ).'
A/fit 6
R cts c it i„ rtaw State of Florida :." 3 '13 3 of Notary Public i
7 6 M Commission DD969544
'94 . i, , ,. , f Expires 03/30/2014