Permit Elec 452 Osprey Key 2012 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
-5814
INSPECTION PHONE LINE 247
Application Number . . . . . 12-00001908 Date 12/27/12
Property Address . . . . . . 452 OSPREY KEY
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 539
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Application desc
LOW VOLTAGE FOR ALARM
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Owner Contractor
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HUTCHINSON DEBORAH CASIMO ADT SECURITY SERVICES INC
452 OSPREY KEY 7818 PHILLIPS HWAY BLDG 1
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256
(904) 732-7748
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . LOW VOLTAGE FOR ALARM SYSTEM
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/25/13
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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 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 (904) 247-5845 0
JOB ADDRESS: 1-/,S2 �g _PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
00
3
VALUE OF WORK$
NEW SERVICE El Overhead Underground Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 151-200amps —allips 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 —arnps CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service_airips
ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Out I ets/Sw itches: 0-30amps 3 1-1 00amps 10 1-200arnps
Appliances: 0-30amps 3 1-1 00arnps 10 1-200anips
A/C Circuits: 0-60airips 61-1 00airips
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/anips VA LITE OF WORK$_
REPAIRS/MISCELLANEOUS
Replace Burnt/Darnaged Meter Can Safety Inspection Pancl Clian-c 011 to UG
X Other: Installing low voltape security system 12 volts 2 anips
Perinit becomes void it',,vork does not commence within ,,i six nionth period or work is suspended or ahmidoned tor six moriths. I hereby certify that I have
rcad this application and ktio\\ the same to be trLIC,111d correct. All provisions of'lawsarld ordin'lliceso\CnIiII(,this work will be complied with whether
spccified or not. The permit does not give authority to\iokitc the pro\isions of"Iny other stote oi-local ILI\\ regul,tio
a licoiisti,uctioiiortlicpei-tot-iiiaticcol'
construction.
Property Owners Name OQ,6crc,\� KA C� iv� &on — Phone Number
Electrical Company, ADT LLC -Office Phone 904-732-7170 Fax 904-732-7760
Co. Address: 7818 Philips Hwy City Jacksonville State FL Zip 32256
17 License Holder (Print): State Certi fi cation/Registration # EF2000413
Notarized Signature ofLicense Holder
y 0 20
Swom and subs`c—rn�:ed�bcfore ine th' f OcceeK
Notary Public State of Fl rida Signature of Notary Public
N on
Keith DePew
My Commission EE 165279
�YD E Exir..0 /01 Ole
*101% xpires.02/0112016