1128 Scheidel Ct 2013 elec low voltCITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number
. . . . . 13-00002337 Date
3/20/13
Property Address .
. . . . . 1128 SCHEIDEL CT
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
------------------------
JOHNSON KIMBERLY D
------------------------
ADT SECURITY SERVICES
INC
1128 SCHEIDEL CT
7818 PHILLIPS HWAY BLDG
1
ATLANTIC BEACH
FL 322333515 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 .
. 9/16/13
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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.
JOB ADDRESS:
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
Srk P1 rJo l (4- ,11CUA+►c,
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS
NEW SERVICE ❑ Overhead
Residential (Main) Service
0-100 amps 101-150amps
Commercial (Main) Service
0-100 amps 101-150amps
Conductor Type
Multi -Family (Main) Service
0-100 amps 101-150amps
Temporary Pole amps
SERVICE UPGRADE
VALUE OF WORK $
&C PERMIT #
VOLTS
❑ Underground ❑J Underground up Pole
Size
151-200amps amps # of Meters
PHASE
151-200amps amps CT Service amps
151-200amps
amps
amps CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
100 amps 150amps 200amps amps CT Service
# of Unit Meters
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 Change OH to UG
CO
X Other: Installinp_ low voltap-e security system 12 volts 2 amps
Pen -nit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I 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 perfonnance of
construction.
Property Owners Name Phone Number CIOL4 ` 3 72 q,5 q3
Electrical Company ADT LLC Office Phone 904-732-7170 Fax 904-732-7760
Co. Address: 7818 Philips Hwy Ci
License Holder (Print):
State FL Zip 32256
State Certification/Registration # EF2000413
NRM
o License Holder
ic State of Ftonda Sworn and subscribed before me th' day of G 20_L2
w
1120 s ��5279 Signature of Notary Public