1719 Beach Ave 2012 ADT `SS CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001076 Date 8/16/12
Property Address . . . . . . 171 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO E UPDATED
Application valuation 0
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Application desc
low voltage
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Owner Contractor
MULLARKEY MICHAEL & ELIZABETH ADT SECURITY SERVICES INC
1719 BEACH AVE 7818 PHILLIPS HWAY BLDG 1
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
904 732-7748
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 2/12/13
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 kTLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION 3
CITY OF ATLANTIC BEACH y
800 Seminole Rd, Atlantic'Beach, FL 32233
Ph (904 247-5826 Fax (904) 247-5845
JOB ADDRESS: c.G� V PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS �AM PS __VOLTS PHASE
v�
VALUE OF WO K$ 0 ✓
NEW SERVICE ❑ Overhead ❑ Underground ❑T 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 amps CT Service amps
Conductor Type Size
Multi-Family(Main) Service
0-100 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 , CT Service amps
ADDITIONS,REMODELS, REPAIRS, BUILD-OUTS, ACCESS04Y STRUCTURES, ETC.
Outlets/Switches: 0-30amps 31-100amps 11 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits:
Heat Circuits:
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 C ecklist)
Qty volts/amps VAL UE OF WORK$
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can Safety Inspection Panel Change OH to UG
X Other: Installin low volts a securitV system 12 1volts 2 amps
Permit becomes void if work does not commence within a six month period or wot isticndcd 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 laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions oFany other state or local law regulation construction orthe performance of
construction.
Property Owners Name (� G( L Q ,Q 1 Phone Number
Electrical Company ADT LLC Office Phone_904-7-32-7170 Fax 904-732-7760
Co. Address: 7818 Philips Hwy City Jacl onville State FL Zip 32256
License Holder (Print): . '' � ' State Certification/Registration # EF2000413
Notarized Si nature o 'License Holder
Notary Public state of Florida Sworn and subscribed before t e this oda ofA20 12-
Keith DePew }
My Commission EE 165279
4an) Expires 02/01/2016 Signature of Notary Public