Permit Elec Low Voltage 2025 Beach 2012 0 1..A1.1/2 6
t� ' _ CITY OF ATLANTIC BEACH
S � j 800 SEMINOLE ROAD
_� ATLANTIC BEACH, FL 32233
`� ` v INSPECTION PHONE LINE 247 -5814
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12- 00000426 Date 4/12/12
Application Number
Property Address 2025 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning RES SF DISTRICT
Application valuation . . . • 358
Application desc
INSTALLING LOW VOLTAGE - CAMERAS & EQUIPMENT
Owner Contractor
REICHLER RICHARD J & MICHELLE ADT
2025 BEACH AVE
ATLANTIC BEACH FL 322335934 (904) ON,VILLE70 FL 32256
Permit ELECTRICAL PERMIT
Additional desc LOW VOLTAGE SECURITY EQUIPMENT .00
Permit Fee . . . . 90.00 Plan Check Fee .
Issue Date
Valuation . . . . 0
Expiration Date . . 10/09/12
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 Beach, FL 32233
Ph (904) Ave, 47 -5826 Fax (904) 247 -5845 /'
JOB ADDRESS: 2025 Bec-,GL A PERMIT # /)---' %
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $ c
NEW SERVICE ❑ Overhead n Underground nJ Underground up Pole
❑Residential (Main) Service
❑ 0 - 100 amps E 101- 15Oamps ❑ 151- 200amps ❑ amps # of Meters
H Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps Li 151- 200amps I 1 amps ❑CT Service amps
Conductor Type Size
Multi- Family (Main) Service
❑ - 100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps ❑ 150amps ❑200amps ❑ amps El CT Service amps
ADDITIONS, 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:
OTHER ELECTRICAL PROJECTS
Swimming Pool ❑ Sign ❑ Smoke Detectors Qty ❑ Transformers KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
❑Replace Burnt /Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
X Other: Installing low voltage security system 12 volts 2 amps
Permit 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
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. f
Property Owners Name Rstc,LccA G . QQ 1 C. in I Phone Number ' (� ( `t , - 2 ( 42 - O o j 1
Electrical Company ADT Security Services Office Phone 904 - 732 -7100 Fax 904 - 732 -7760
Co. Address: 7818 Philips Hwy City Jacksonville State FL Zip 32256
License Holder (Print): e-ON 4 4," State Certification/Registration # EF2000413
. .. ' - • . . • , _ •.: older 00 0, / .�
r Notary Public State of Florida
o
Keith DePew Sworn . nd subscribed before me t l , _ day of 4 ()[ 1 i 20 (2 .
My Commission EE 165279
%.,./ Exwres 02/012016 Signature of Notary Public "7 ii