Permit Elec 2067 George St 2010 ;‘,... .01,.." , f.,4;,),. CITY OF ATLANTIC BEACH
7 - s k ; >E' 800 SEMINOLE ROAD
::3 -
Q ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 10- 00001351 Date 11/08/10
Property Address 2067 GEORGE ST
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.
C/� ELECTRICAL PERMIT APPLICATION
`r CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247 -5826 Fax (904) 247 -5845
OB ADDRESS: 90 5'7 C? . 00 r-j r' . 51: PERMIT #
FEW SERVICE ❑ Overhead 0 Underground ❑ Underground up Pole
❑Residential (Main) Service
00 -100 amps ❑ 101 150amps 0151 200amps ❑ amps # of Meters
D Commercial (Main) Service
00 amps D 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi Family (Main) Service
00 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
ERVICE UPGRADE D amps 0 CT Service amps
fEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps
►DDTTIONS, 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:
Yl'H.ER ELECTRICAL PROJECTS
❑ Swimming Pool ❑ Sign ❑ 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/NIISCELLANEOUS
OReplace Burnt/Damaged Meter Can OSafety Inspection ❑Panel Change DOH to UG
e t h e r : - I, « - ' ' ' ► e . L )o c. K. J b'S c f ,i c+
emit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I
:ad this application and know the same to be true and correct. All provisions of laws and ordinances . hereby certify that I have
ecified or not. The permit does not give authority to violate the provisions of other state or local laws this work will be complied with once o whether
� Pm � any regulation construction or the performance of
�
Yoperty Owners Name Phone Number
Ilectrical CompanyJ C G�-.Q-Ct/(,trA -0 C / e t Office Phone a3 d ``i 01$ Fax c 3d — (/01
:o. Address: 3 (0 `-� - � Agri - I toll- / )-I- a SO 7 City a-A4 State 9- 'P - Zip 3 . ??.9.L.
.icense Holder (Print): C . 60 rr`f t-000 Ct Lo a 6' 42— State ertification/Registration # �' 1 3OC31 1
Votarized Signature of License Ha /der be �r-�d ""
Sworn and subscribed before me 's C day 4a- %'S 20 10
lit Notary Phillip Public Stte of FlondSj::r. e of Notary Public 6° l/ Gini B
My Commission DD969544
vii. o,, O Expires 03/30/2014