345 4th St 2012 - Permit Elec Low voltage & � �� CITY OF ATLANTIC BEACH
'' ) 800 SEMINOLE ROAD
J , ,da 1. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5814
- a13 v
Application Number 12- 00000594 Date 5/15/12
Property Address 345 4TH ST
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 889
Application desc
INSTALL LOW VOLTAGE SECURITY SYSTEM
Owner Contractor
MCCAWLEY PETER V & INGRID D ADT SECURITY SERVICES INC
320 5TH ST 7818 PHILLIPS HWAY BLDG 1
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 732 -7170
Permit ELECTRICAL PERMIT
Additional desc . INSTALL LOW VOLTAGE SECURITY
Permit Fee . . . 90.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 11/11/12
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) 247 -5826 Fax di (904) 247 -5845 - �-
JOB ADDRESS: 3 LlS 43 SWQQ4 44ICt&4 QQA c PERMIT # a
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $ 1 89 s'')
NEW SERVICE ❑ Overhead n Underground I J Underground up Pole
❑Residential (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
❑ Commercial (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps 111 amps ❑ CT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
Li 0 -100 amps ❑ 101- 150amps ❑ 151 200amps ❑ amps # of Unit Meters
is ] Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
1100 amps ❑ l50amps ❑200amps ❑ amps ❑ 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
n Swimming Pool ❑ Sign ❑ Smoke Detectors Qty LL Transformers KVA ❑ Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts /amps VALUE OF WORK $
REPAIRS/MISCELLANEOUS
[ 7 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.
Property Owners Name &* S 1 c C G cj (Q/ Phone Number F5OS ' y e{ - 3o g c)
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): ^' ` f f 7" ' State Certification/Registration # EF2000413
Notr i ed Si : nature o License Holder . .i,, /�/ % m il
N Public State of Florida • • \ Kei DePew Swo m �
subscribed before et s i li y day of a/ 20 1 2
,p• M C ommission EE 165279 IN
o, M1dd'"` Exp 02/01/2016 Signature of Notary Public