Permit Elec 685 Sailfish Dr 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 13-00002043 Date 1/24/13
Property Address . . . . . . 685 SAILFISH DR
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
low voltage
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Owner Contractor
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MENDE, RICHARD T ADT SECURITY SERVICES INC
685 SAILFISH DR E 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 . . 7/23/13
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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
JOB ADDRESS: Set I �,s Dr. E PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUEOFWORKS 12(rj6 '00
NEW SERVICE D Overhead Underground Underground up Pole
Residential (Main) Service
0-100 amps 101-150anips 151-200anips —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 151-200anips —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,ACCESSORY STRUCTURES, ETC.
Out I cts/S witches: 0-30amps 31-1 00anips 101-200amps
Appliances: 0-30anips 3 1-1 00anips 101-200amps
A/C Circuits: 0-60amps 61-100anips
Heat Circuits: # circuits (a.) kw
Number oflAgliting Outlets, Including FiXtUres".
OTHER ELECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors Qty Transl'ormers KVA Motors lip
FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist)
Qty volts/anips "L UE OF WORK$
REPAIRS/MISCELLANEOUS
Replacc Burnt/Dainaged Meter Cali Safety hispectioii Pancl Cha I 'c OH to UG
X Other: Installinp_low voltage security system 12 volts 2 arnpsf�/Pce — cj re—
Z
11crinit hecomes void ifwork clocs[lot commence within a six 111onth period or work is SL1Sj)Ct1dcd or ahandoned for six inonths. I hereby certify that I have
read this application and knOW 01C SM11C to hC trLIC and correct. All provisions ot'la\\s and ordinances ooverning this work will bc coinplicd with whctller
specil-led or not. HIC Permit doCS 110t giVe�Wtl]01-itV to\i0lLItC 01C l)1-0ViSio11S Of�ffly OHM-statc or local law rcgulation construction or the performance ot'
coll';tructioll.
Property Owncrs Name k">tc�oA T tMevide- Phone Number C112
/V
Electrical Company ADT LLC -Office Phone 904-732-7170 Fax 904-732-7760
Co. Address: 7818 Philips Hwy City Jac�s riville — State FL Zip 32256
License Holder (Print): State Certification/Registration # EF2000413
Notarized Signature qfLicense Holder q4k
RENotary Public State of Florida Sworn and subscribed before me t s 2- dayof :J_cy)t,4k�V 2013
0011`11;� Keith DePew
My Commission EE 165279 lic
COP Expires 02/01/2016
I Signature of Notary Pub