176 16th st low volt for alarm 2012 sx CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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Application Number . . . . . 12-( 0001090 Date 8/22/12
Property Address . . . . . . 176 16TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO EE UPDATED
Application valuation . . . . 0
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Application desc
low voltage for alarm
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Owner Contractor
------------------------ ------------------------
CDL AB LLC ALL SERVICE ELEC GROUP
CHRIS LAMBERTSON 1556 WHITLOCK AVE
357 12TH ST **
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211
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Permit . . . . . . ELECTRICAL PE IT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/18/13
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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 OFA LANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT A PPLICATION
CITY OF ATLAnIc BEACH
800 Seminole Rd,Atlantic each,FL 3223314
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h(904)247-5826 Fax( 04)247-5945
JOB AADDRESS: 7G 4 -------.PERMIT#
NEW SERVICE ❑Overhead
❑Residential ❑ Underground Underground up Pole
(Main]Service
❑0-I00amps
0101-150amps 17151-200amps ❑ amxm s
p #of Meters
❑Commercial(Main)Service ^~�
DO-100amps ❑101-150amps ❑151-200amps ❑ am s
Conductor Type_ --_—_ p 11CT Service_ amrlps
Size
❑Multi-Family(Main)Service
00-100 amps 13101--150amps 0151-200amps ❑ am s
---- p #of Unit Meter;
[]Temporary Pole ❑ amps
__ __
SERVICE UPGRADE 0
amps ❑ CT Servi amps
NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,E C.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service
amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESS RY STRUCTURE
Outlets/Switches: —0-30am s S,ETC.
Appliances: 0-30amp `.,_31-100amps —101-200amps
A/C Circuits: 0-60amp31-100amps 101-200amnps
Heat Circuits: ps rcuits------61-100amps
Number of Lighting u e0 11 ts,clncluding Fixtures W
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors
Qty QTr formers j�V A ❑Motor; 1a
FIRE ALARM SYSTEM P p
(Requires 3 sets of Inns&Fire Alarm hecklist)
QtY— volts/amps VALUE OF WORK S
,REPA.IRS/NHSCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety
lnspectiomz ❑Panel Change ❑()H to USF
Cher:
P eimit becomes void"if;wor�kdoCe snot commence within a six month period or work' suspended or abandoned for s'months. 1 hereby read this application and know the same to be true and correct All y certify t Oat T have
specified or not The permit does not give authorityprovisions of laws and ordit ances governing this work will be complied with vhether
construction. to violate the provisions of any other state r local law regulation construction or the pertonx Looe of
Property Owners Name
Ph
one Number
Electrical Company Ae- 56,C(K'
49*�EOf ice Phane*/4 7iYax
Co.Address: Srr �Ff ;z__
Ci
License Holder(PState dap 3j 1- //
ri�gt); ���� l.C/✓
Stat Certification/Registration#4!�eODO/o leo
Notarised Signature ofLicense Holder ?L
4^^MM[CHELE M SPEAKER Sw4 and subscribed before
s d y of
My COMM1SSlON#DD818431
November 08,2012 Si _ {�
exP1x>is. tore of Notary Public
FI.NotsrY pspunt Assa.Co.
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