Permit Elec 176 16th St 2013 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
-lit
Application Number . . . . . 12-00001716 Date 1/16/13
Property Address . . . . . . 176 16TH ST
Application type description SWIMMING POOL/SPA
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 20000
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Application desc
New In-ground Swimming Pool
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Owner Contractor
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CDL AB LLC ISLAND POOLS, LLC
CHRIS LAMBERTSON 1S46 LINKSIDE DR
357 12TH ST ATLANTIC BEACH FL 32233
ATLANTIC BEACH FL 32233 (904) 334-5421
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . . POOLGROUNDING
Permit Fee . . . . 95 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 7/15/13
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Special Notes and Comments
Full right-of-way restoration, including sod, is required.
2010 FLORIDA BUILDING CODE, 2008 NATIONA1 ELECTRIC CODE
REQUIRED INSPECTIONS :
*POOL STEEL
*ELECTRICAL GROUNDING AND BONDING
*FINAL (PUMPS MUST BE RUNNING FOR FINAL)
SWIMMING POOL SAFETY INSPECTION REQUIRED
* CONTRACTORS CONFIRMED THAT A FENCE WITH CODE COMPLIANT
GATES WILL BE A MEANS FOR PART OF THE SAFETY INSEPCTION.
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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
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-012 AMPS Z_4 '0 VOLTS I or PHASE
VALUE OF WORK$
NEW SERVICE El Overhead Ej Underground ED Underground up Pole
Residential(Main) Service
10
! I -100 amps 11101-1 50amps 11 51-200amps I_amps # of Meters
'Commercial(Main) Service
0-100 amps 151-200amps I amps 1 1 CT Service amps
Conductor Type Size
I !Multi-Family(Main) Service
0-100 amps 1-JI01-150amps 11 51-200amps I amps # of Unit Meters
Temporary Pole amps
SERVICE UPGRADE I jl_amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
I 100amps 11150amps I 200amps l �l_amps iCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps _101-200amps
A/C Circuits: 0-60amps 61-1 00amps
Heat Circuits: # circuits @_kw
Number of Lighting Outlets, Including Fixtures:
OTHjE1K ELECTRICAL PROJECTS
WC
Nwimming Pool �,i Sign �_I Smoke Detectors_Qty � Transfort-ners KVA Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
1 Replace Burnt/Darnaged Meter Can I Safety Inspection Panel Change 1 IIOH to UG
Other: "A_
Permit 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 performance of
construction.
Property Owners Name Phone Number Z
Electrical Company 146k �;, 6 j Y`1% Office Phone e 1 Fax
L
Co. Address:e,90, city's i" k9 V State 61—zip 92,0;10
j
License Holder(Print): Igo e5!64 4 State Certification/Registration# 4Z,&,0 0
V ,
Notarized Signature of License Holder
____7 11 .. ................
MEUSSA A,NW Before me this day of 20 /_-3
MYCOWW"HE8610
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EXPIRES.Jamry 1.2017 Signature of Notary Publicak�_ 6�1, A�
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