Permit Elec 1870 George St 2010 S s � 0 .:ley rio
, ►
` CITY OF ATLANTIC BEACH
�� s) 800 SEMINOLE ROAD
0-4 � " ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 10- 00001350 Date 11/08/10
Property Address 1870 GEORGE ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
timer for water heater
Owner Contractor
JACKSONVILLE HOUSING AUTH VANGUARD ELEC CONTRACTORS
123 8TH STREET 2375 ST JOHNS BLUFF RD S
JAX BEACH FL 32250 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
. OB ADDRESS: 1 G• 1 0 c,e, o r: j z c-1-- PERMIT #
IEW SERVICE ❑ Overhead ❑ Underground ❑ Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑Commercial (Main) Service
00 -100 amps 0101 150amps 0151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi - Family (Main) Service
00 -100 amps ❑ 101- 150amps 0151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
ERVICE UPGRADE ❑ amps ❑ CT Service amps
CEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps
,DDITIONS, 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:
)THER ELECTRICAL PROJECTS
o Swimming Pool ❑ Sign 0 Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
IRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK $
tEPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑ Safety Inspection ❑Panel Change ❑ OH to UG
Other: '1( e. ( (- L / t) r cc 0 n /ec1
ermit 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
ad this application and know the same to be true and correct. All provisions ()flaws and ordinances governing this work will be complied with whether
reified or not The permit does not give authority to violate the provisos of any other state or local law regulation construction wine performance of
anslruction.
'roperty Owners Name Phone Number
31ectrical Company gle,ebtlirjj 0.01tA2et014 Office Phone 02 d -4 O 1g Fax 0 - 4 0
:o. Address: 3G s 3 6 i,c.0 -t — e ;..5 7 City C State 91- Zip 3 a a a c
.icense Holder (Print): C. 60 +" r t.t C> 0 (. u_)la 1' CQ- State e rtification/Registration # E C / 3003 7 1
' o " ed Signature c License Holder d , 01 14,..„6.1._
. . d subscnbed before me this Si 0 day of > 20 t a
�,�N p ' t Notary Public State of Florid
Gini B Phillippe .�
v o e My Commission DD96•' - ►. e ofNotary Public - , /
1'rn.°a Expires 03/30/2014