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36 Dudley St 2014 safety ` z CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 14-00000285 Date 2/27/14 Property Address . . . . . . 36 DUDLEY ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ EDWARDS, CHARETTA BARKOSKIE ELECTRICAL SERVICE, 1314 PETTY ST INC. DOTHAN AL 36301 48 S . PENMAN ROAD JACKSONVILLE BEACH FL 32250 (904) 246-4731 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/14 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 94 . 00 94 . 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 Reach, FL 32233 Ph(900 247-5,9'16 - k,04)247-5845 JoB ADDRESS _ c.r�� PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS 00—Amps, ?,4 O VOLTS t PHASE VALUE OF WORK S�Z ay Underground NEW SERVICE Overhead ❑ D Underground up Pole Residential(Mala)Service # of Meters 0-100 amps ! .101-150amps : '151-200amps _______,_amps Commercial(Main)Service 0-100 amps ' :101-150amps :151-200amps amps CT Service_ amps Conductor Type Sive Multi-Family(Main)Service s #of Unit Meters 0-100 amps ' i 101-150amps 151-200amps amps Temporary Pole amps SERVICE UPGRADE amps CT Service__amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) CT Service amps 100 amps f ;150amps 200amps amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200am ps 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 I ; Sign ,Smoke Detectors Qty Transformers KVA Motes hp FIRE ALARM SYSTEM (Requires 3 sets of plans) VALUE OF WORK S Qty votts/amps -_ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG Other: - --- -— permit becomes void if worts does not comms within a six month period or work is suspended or abandoned for six months. 1 hereby certify that I have read this application and know the same to be true and correct- All provisions of taws and ordirmwes governing this work will be complied with whether specified or not. The permit docs not give authority to viotate the provisions of any other state or local law regulation constn+c-tion or the perfornumce of construction. Property Owners Name ��1 l ► '� Phone Number Electrical Company Office Phone _Z�/ Fax Clel ��--- State � Zi Co. Address: n 7F C� Citi, A' 1.5 _ —� P tkense Holder(Pretty v— State Cettification/RegisUation# l-So 0 (der fMMe kfflVTT — Y of �Gr 20 lett►thMlc-stat.or Ftodlea fore me this z• - My too>to>t t�/inao Fih fi.TOt l !V't_ A 4-' CONS #EE gllW signature of Notary Public ..� (toot T610 tam"paltry Moa.