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
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Application desc
SAFETY INSPECTION
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Owner Contractor
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EDWARDS, CHARETTA BARKOSKIE ELECTRICAL SERVICE,
1314 PETTY ST INC.
DOTHAN AL 36301 48 S . PENMAN ROAD
JACKSONVILLE BEACH FL 32250
(904) 246-4731
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/26/14
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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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
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