526 Atlantic Beach CT ERES19-0108 Elec for Pool '1'`%• ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
7 CITY OF ATLANTIC BEACH ERES19-0108
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800 SEMINOLE ROAD ISSUED: 5/1/2019
f x v> EXPIRES: 10/28/2019
ATLANTIC BEACH. FL 32233
CODE,MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
526 ATLANTIC BEACH CT ELECTRICAL RESIDENTIAL ELECTRIC FOR POOL $600.00
TYPE OF REALESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ATLANTIC BEACH
169505 1410 COUNTRY CLUB UNIT 02
COMPANY: ADDRESS:
DAVID PRUETTES 331-8 P PARKRIDGE AVE ORANGEPARK FL 32065
ELECTRICAL SVC.
• ADDRESS:
RUMMANS ALBERT E JR 14 TURTLE RIDGE CT RIDGEFIELD CT 06877
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF .
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELECSWEING PO OLS 455-0000-811-1000 0 $40.00
ELECTRICAL BASEFEE 455-OOOOd22-1000 0 $5500
STATE DERR SURCHARGE 455-0000208-07M 0 $1.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $100
TOTAL:$99.00
Issued Date: 5/1/2019 1 of 2
Electrical Permit Application OFFICE COPY "ALL INFORMATION
9
-_
HIGHLIGHTED INCity of Atlantic Beach Building Department GRAY
ISREQUIRED
.
800 Seminole Rd, Atlantic Beach, FL 32233
Phone: (904) 247-5826 Email: Building-Deotf�coab us EuES (9 -b(O eD� l PERMIIT�N:
JOB ADDRESS: rJ�p A'ld d)i( h n�� U PROJECT VALUE$ ( CD
JEA INFORMATION REQUIRED ON ALL PERMITS:_AMPS_VOLTS_PHASE
❑NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
CResident[al(Main)Service:
130-100 amps 0101-150amps 13151-200amps n _amps #of Meters
13Commercial(Main)Service:
❑0-100 amps E3101-150amps 13151-200amps ❑ amps )]CT Service amps
Conductor Type Size
E3Mult[-Family(Main)Service:
M-100amps 173101-150amps 13151-2011imps CL—amps #of Unit Meters_
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑ amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
13100amps 0150amps ❑200amps 17—amps QTService_amps
❑ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
Outlets/Switches:_0-30amps 31-100amps _101-101
Appliances: _0-30amps _31-100amps _101-200amps
A/C Circuits: 0-60amps 61-300amps
Heat Circuits: #circuits @_kw
Number of Lighting Outlets, Including Fixtures:_
❑OTHER ELECTRICAL PROJECTS:
❑Swimming Pool[]Sign QSmoke Detectors_(city) ❑Transformers KVA QMotors HP
❑FIRE ALARM SYSTEM(Requires 3 sats of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can O.Safety Inspection ❑Panel Change []OH to UG
updnrd io/t7/ta
Permit b❑ esJ[her:
Itld workd not commerce within a six month period or work is suspended or abandoned for six months. I hereby certify that l have
read this application and know the same to be true and co..at All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The Permit does�no•t�g�i�ve authority to violatethe provisions of any other state or local law regulation onsstruction or the performance of
Owner Name: lT - • ' p Phone Number:
Electrical Com an J.ytdw { t (Q[ j(•q,� ��c- cr
P 7y'_ 1'1!O�SI�. E Off Ph % a�fel�t7aw.,z Fax4 7apo-/
Co.Address: 371^ (�_f,[w &r,- State Fi 2ip 320(rs
License Holder: V ate Ce #: EC.cr.L�29L3
Notodzed Signature of License Haider
The foregoing instrument was ano ged eforemethisQ._day
rkofka[(A_,20-,in the to of Florida,County of
KAREN C.FRANCO '/
Signature of Notary Public (�dw o. 0,
My COMMISSION N GG09USS -
'4
EXPIRES April i8.202t ersonally Known OR[ I Produced Identifiwdon
Type of Identification: