Permit Mech 340 Garden Ln 2012 CITY OF ATLANTIC 13EACH
800 SEMINOLE R O* AD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number 12-00000729
Property Address 340 GARDEN LN Date 6/11/12
Application type description ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . .
-------------- 0
Application desc-------------------------------------------------------
low voltage 12 volt 2 amps
----------------------------------------------------------------------------
Owner
------------------------ Contractor
FLETCHER, JAMES ------------------------
340 GARDEN LANE ADT SECURITY SERVICES INC
ATLANTIC BEACH FL 32233 7818 PHILLIPS HWAY BLDG 1
JACKSONVILLE FL 32256
----------------------------------- 0904) 732-7170
Permit
L PERMIT
Additional desc
ELECTRICA
Permit Fee 90 . 00 Plan Check Fee
Issue Date
Valuation . 00
Expiration Date 12/08/12 0
----- ---- - - - - - - - - - ----- ---- --- --------- ----
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 ---------- ----------
Plan Check Total . 00 . 00 . 00
Other Fee Total 4 . 00 . 00 . 00 . 00
Grand Total 94 . 00 4 . 00 . 00 . 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
0 Ph (904)247-5826 Fax (904)247-5845
JOB ADDRESS:- L.Z.-!w C�
C
�PERMIT#
............ ..........................................
JEA INFORMATION REQUIRED ON AL L PE'R'M1`TS' .............................. AMPS VOLTS -----------
VALUEOFWO,RK$ r 00,PHASE
NEW SERVICE El Overhead El Underground
EResidential (Main)Service D Underground UP Pole
I J10-100 amps 11101-150amps 11 151-200am s �j
0 Commercial(Main) Service p -.amps
EO-100 amps Ll 10 1-1 50amps #Of Meters
Conductor Type 11 151-200amps amps
' 'Multi a, Ej CT Service
-Family(jq-nj-S-erv-,� Size----------- amps
110-100 amps ce
[-]Temporary pole Ej 0 10 1-I 50amps 0 151-200amps 11 amps
SERVICE UPGRADE —amps #Of Unit Meters
0_amps 1-1 CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100amps 0150amps 0200amps 1j.amps Ej'CT Service—amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCT
Outlets/Switches: —0-30amps URES,ETC.
Appliances: —0-30amps —3 1-1 00amps —101-200amps
A/C Circuits: -3 1-I 00amps
Heat Circuits: —0-60amps — 61-100amps —10 1-2 00amps
@�— kw
g Outlets, Including i�71xtures:
Number of Lightin # circuits
OTHER ELECTRICAL PROJECTS
[-]Swimming Pool FJ Sign []Smoke Detectors_Qty IJ Transformers KVA LMotors hp
FIRE ALARM SYSTEM (Requires 3 sets Of Plans& Fire Alarm Checkli
QtY—volts/amps st) VALUE OF WORK S
REPAIRS/MISCELLANEOUS
L'-'Replace Burnt/Damaged Meter Can 0 Safety In sPection IJPanel Change 171 OH to UG
A
X Other: Installina low v
UnL- oltage s�ecu stem 12 volts 2 amps
afty--Sy
Permit becomes void if work�does not commence within a six month periodor work is suspended or abandoned for six months. I here—by certify that I have
read this application and know the same to be true and correct. All provisions of]awsl 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 f\ h4 1AA CA4�Ae- Phone Number L
�1� -
Electrical Company ADT Security Services 2
Co.Address: 7919 Philips HM —Office Phone-904-732-7100 Fax 904-732--��
Jeense Holder(Prtat)-. o City-Jacksonville — State FL Zip 32256 --7176
V,0 Ider State Certification/Registration EF2000413
Notary Public State of Florida
Svom and subscribed befo�re me this day of
-:3C-4 Q 20 (2
My QOMM435fon ft 1652 f 9 -
14so ry Expires omiaoi6 Signature of Notary Public
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