532 Atlantic Beach Ct pool elec permit %
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CITY OF ATLANTIC BEACH
V 800 SEA'HNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2833
Job Type: ELECTRIC ONLY
Description: swimming pool electrical project
Estimated Value:
Issue Date: 12/19/2016
Expiration Date: 6/17/2017
PROPERTY ADDRESS:
Address: 532 ATLANTIC BEACH CT
RE Number: None
PROPERTY OWNER:
Name: Vriga, Ryant
Address: 532 Atlantic Beach CT
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
David Thomas Pruette,EC0002923
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS
PRUETTE
Phone: -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Swimming Pools $40.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
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 r u '"
.TOB ADDRESS: 532 lT l la"c LraCh CAr+ PERMTT#
JEN INFORMATION REQUIRED ON ALL PERMITS- AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground ❑I Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps D151-200amps ❑ amps #of Meters
OCommercial(Main)Service
00-]00 amps 0101-150amps 0151-200amps ❑ amps ❑CTService amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole O amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps ❑ amps OCT Service_amps
4DDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switch": 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits Qa kw
Number of Lighting Outlets, Including Fixtures:
3THERWCTRICAL PROJECTS
96Mmming Pool OSign ❑Smoke Detecmrs_Qty ❑Transformers KVA OMotors hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
IEPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
OOther:
ermit becomes void if work docs not commence within a six month period or work is suspended or abandoned for sixmonais. I hereby certify that I have
:ad this application and know the same to be true and correct. All provisions of laws and ordinances goveming this work will be complied with whether
Mi5ed or not. The pemdt does not give authority to violate the provisions of any other skate or local law regulation construction or the perforo unce of
mswction.
roperty Owners Name Phone Number
I
lectrical Compan Office Phone Z9 �'S �F-aa,
o.Address:' d I IV'P� City Statet=��V ttZZryip�^^ yy�
iceW
nse Bolder(Print): a late 'Scation/Registration# WVLA-?R3
solarized Signature ojLicease Holder
CHO ROBERTS fore me this qW day of Imft
MYCOMM69UNI1.
xx.ixEx:nuawar,m,mia ignatureofNotary Public_-
C
0�S ATLANTIC BEACH
PERMIT RECEIPT
..pf )� December 19, 2016
PERMIT DESCRIPTION: swimming pool electrical project
PERMIT NUMBER: 16-ELEC-2833
ADDRESS:532 ATLANTIC BEACH Ci CITY OFATLANTIC BEACH
No SEMINOLE RD
OWNER: ATLANTIC BEAC,FL 32233
1219-7016 11:73:05
State Elec DBPR Surcharge $2.00 CREDIT CARD
VISA SALE
State Elec DCA Surcharge $2.00 CARD fi )xX1LYAY,%U%XII9505
INVOICE 0002
SEQ n: 0002
Swimming Pools $40,00 Batch n: 000461
Approval Cade: 0@309
Icty Mo rod: Marual
Trade Permit Base Fee $55.00 Mode: O ine
TB Arad: $000
Card Cade: M
Totals: $99.00 SALE AMOUNT 0A
CUSTOMER COPY
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