539 Atlantic Beach Ct ERES18-0176 Pool Elec PERMIT NUMBER
ELECTRICAL RESIDENTIAL PERMIT
t, CITY OF ATLANTIC BEACH ERES18-0176
800 SEMINOLE ROAD ISSUED: 6/26/2018
ATLANTIC BEACH. FL 32233 EXPIRES:
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
OF BEACH CODEOF • '
ALL CONDITIONS OF PERMIT APPLY, 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:
539 ATLANTIC BEACH CT ELECTRICAL RESIDENTIAL SWIMMING POOL ELECTRIC $0.00
TYPE OF
• • GROUP:
169505 1425 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID PRUETTES 331 -8 P PARKRIDGE AVE ORANGE PARK FL 32065
ELECTRICAL SVC.
• ADDRESS:
RIVERSIDE HOMES OF 1227 SAN JOSE BLVD STE 120 JACKSONVILLE FL 32223
NORTH FLORIDA INC
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
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
Issued Date:6/26/2018 1 of 2
ELECTRICAL PERMIT kPPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 -
Ph(904) 247-5826 Fax (904) 247-5845 E-fR Es ( o
JOB ADDRESS: -6351 Rj,1i9A--4,c° &/4&Ll (�j PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 amps ❑101-150amps n 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 OCT Servi, 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 LECTRICAL PROJECTS
wimming Pool Sign []Smoke Detectors_Q.ty ❑Transformers KVA Ll Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REP AIRS,NIISCELLANEOUS
❑Replace Burnt/Damaged Meter Can Li Safety Inspection ❑Panel Change DOH to UG
❑Other:
Permit becomes void if work does not commcnce 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 performance of
construction.
Property Owners Naive ( V Q-F t� Phone Number
Electrical Company (lid T r .S ge c5 Ar Office Phone 4Q P 7& J Fax 497W"7iW
Co.Address: _'O._ Qy _ _. City State Zip
%License Holder(Print): ate ification/Registration# a3
Notarized Signature of License Holder
"BV'° Before me this day ofW 20
CHO ROBERTS
My COMMISSION q fF153136 Signature of Notary Public cl�
X01 EXPIRES:August 21,2018