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793 Mayport Rd elec 2013 ow CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002233 Date 2/27/13 Property Address . . . . . . 793 MAYPORT RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc LOW VOLTAGE FOR ALARM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BEACHES HABITAT FOR HUMNITY ADT SECURITY SERVICES INC 793 MAYPORT ROAD 7818 PHILLIPS HWAY BLDG 1 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32256 (904) 732-7748 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/26/13 ---------------------------------------------------------------------------- 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 . 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 ONLV 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 32233 Ph (904) 247- 26 Fax (904) 247-5845 JOB ADDRESS: d4 gic RL PERMIT# JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VAL UE OF WORK$ 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,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps 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/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS Replace Burnt/Damaged Meter Can Safety Inspection Panel ChangeO to UG 00 X Other: Installin low voltage securitysystem 12 volts 2 ams ? 9 Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. l 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 of any other state or local law regulation construction or the performance of construction. �' Property Owners Name G T�► "�U� 11 Phone Number q04-2q(- 1222- Electrical Company ADT LLC Office Phone 904-732-717 Fax 904-732-7760 Co. Address: 7818 Philips Hwy Cit Jack nville State FL Zip 32256 01 License Holder (Print): � State Certification/Registration# EF2000413 Notarized Signature of License Holder Sworn and subscribed beforeme is day of n.A Cry 20 dam'A` Notary Pudic State of Florida 7, Keith DePew Signature of Notary Public My Commissior_E 165279 ocn� Expires 02101/2016