860 Bonita Rd pool elec 2012 CITY OF ATLANTIC BEACH
} 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 12-00001555 Date 10/23/12
Property Address . . . . . . 860 BONITA RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
Swimming Pool Electrical
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Owner Contractor
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KNIERIEMEN DANIEL J JR DAVID PRUETTES ELECTRICAL SVC.
860 BONITA ROAD 331-8 PARKRIDGE AVE
ATLANTIC BEACH FL 322334229 ORANGE PARK FL 32065
(904) 272-7225
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Permit ELECTRICAL PERMIT
Additional desc SWIMMING POOL ELECTRICAL
Permit Fee 95 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/21/13
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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 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 99 . 00 99 . 00 . 00 . 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 �S
Ph(904) 47-5826 Fax(904) 247-5.845 �5
W ADDRESS. ey&O_L�
PERMIT# , /2.r-3-7�`-
STEW SERVICE '"Overhead ❑ Underground ❑Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi Family (Main) Service __amps #of Unit Meters
00-100 amps 0101-150amps ❑151-200amps ❑
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps ❑ amps OCT Service amps
BUILD-OUTS,
ADDITIONS,REMODELS,REPAIRS ACCESSORY STRUCTURES,ETC.101-200am s
Outlets/Switches: 0-30amps 31-100amps 101-200am s
Appliances: 0-30amps 31-100amps P
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ '
Number of Lighting Outlets, Including Fixtures:
OTHE LECTRICAL PROJECTS
lr 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 El Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a six month period ors work is suspended or abandoned for six months. I hereby Certify that I have
and correct All provisions of laws and ordinances governing this work will be complied with whether
read this application and know the same to be true
s of any other state or local law regulation construction or the performance of
specified or not The permit does not give authority to violate the provision
construction. I I f �5���
/)a�L6CZ�p Phone Number � Z__Z _ y
Property Owners Name c/ //��i r
T�. .s �, ES (;l2Gf- `CQ P sVC_S Office Phone o7� L-1�5- Fax oZPa-72 aS
Electrical Company �Zi 32�6v5
�3 -$ �GtrK�'�f�e !� City cz. State p
Co.Address: Zql2-3
License Holder(Print): 1V C Catio Nation# C
No older /
s Sworn,and su scribed before me 's 3 r of G bef�' 20
ooliNA l_BARi1 E c� /2-
�'
EXPIRES: aNrch 30,2013
1 4
"'' a°" Th"1N0tm"Pu*U "'' Signature of Notary Public aN/n
(amood ce"wod (&M&a"ffl CA6
P.O. Box 51045
Jacksonville Beach, FL. 32240
Phone (904) 241-5591
Fax(904)241-9037
EC13002649
To whom it may concern:
We are relinquishing the permit pulled for 860 Bonita Rd.Atlantic Beach, FL 32233. We will
no longer be providing services for this particular job at this address.
i
Thank you,
Crawf rd Electrical