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1600 Selva Marina Drive 14-ELEC-88 (Pool Electric) CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD JX ATLANTIC BEACH, FL 32233 ELECTRICAL PERMIT INSPECTION PHONE LINE 247-5814 �!rJ CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814 JOB INFORMATION: Job ID: 14-ELEC-88 Job Type: ELECTRIC ONLY Description: WIRE FOR SWIMMING POOL Estimated Value: Issue Date: 9/26/2014 Expiration Date: 3/25/2015 PROPERTY ADDRESS: Address: 1600 SELVA MARINA DR RE Number: 169399-0000 PROPERTY OWNER: Name: ATLANTIC BEACH PARTNERS, LLC Address: GENERAL CONTRACTOR INFORMATION: Name: ALL AMERICAN ELECTRICAL OF NORTH FLORIDA INC. Address: 4541 St Augustine RD STE 4 Phone: 904-962-0691 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: $99.00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 ,, LL � Ph(904)247-5826 Fax (904) 247-5845 —a , JOB ADDRESS:1lj0O &A&ICn' q'�f-� PERMIT - JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE VALUE OF WORK$ NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole ❑Residential(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps []-amps #of Meters ❑Commercial(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps 0C Service amps Conductor Type Size ❑Multi-Family(Main)Service ❑0-100 amps ❑101-150amps ❑151-200amps []-___amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps 0200amps ❑ amps OCT Service amps ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: 0-3 Damps 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 ELECTRICAL PROJECTS dimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA 11 Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps VALUE OF WORK$ REPAIRS/MISCELLANEOUS []Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change OOH to UG ❑Other: 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_t q,�,� % C 1.Q A C A, C(t(0 Phone Number Electrical Company , Wt U',c A*J i2c e-I-X i e A LOffice Phone 7-11-7-77110 Fax'73'7..1oc?Y Co.Address: T"p`S 3 S�. City_TAX State Ft=Zip 34.Zo-1 License Holder(Print):'�RoblA� (0 Stat ertification/Registration#& 130"30`!9 Notarized Signature of License Holder W"�y''' JENNIFER WALKER efore me this Q_ ay 20 MY COMMISSION#FF 011480 a€ EXPIRES:April 24,2017 Rr;� ` BondedrhruNotaryPublicUnderwriters Signature of Notary Public FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY f Operating Permit Permit Number: 16-60-1584521 HEALTH Swimming Pools -Public Pool > 25000 Gallons Audit Control: 16-PID-2601813 Duval County County: Duval Issued To: Atlantic Beach Country Club 1600 Selva Marina Drive Date Paid 02!02/2015 Atlantic Beach, FL 32233 Issue Date: 02/24/2015 Not Approved for Nighttime Swimming SUBJECT TO ANNUAL RENEWAL FEES INITIAL PERMIT(Engineering Use Only) Mailed To Atlantic Beach Country Club 1600 Selva Marina Drive Florida Department of Health - Duval Atlantic Beach, FL 32233 900 University Boulevard N, Suite 300 MC-45 Jacksonville, FL 32211 Pool Volume 179,500 Bathing Load: 110 ORIGINAL-CUSTOMER (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY Operating Permit Permit Number: 16-60-1584521 Audit Control: 16-PID-2601813 HEALTH Swimming Pools-Public Pool > 25000 Gallons at"munty Not Approved for Nighttime Swimming County Duval Issued To: Atlantic Beach Country Club 1600 Selva Marina Drive Date Paid: 02/02!2015 Atlantic Beach, FL 32233 Issue Date: 02/24/2015 INITIAL PERMIT(Engineering Use Only) SUBJECT TO ANNUAL RENEWAL FEES Mailed To: Atlantic Beach Country Club 1600 Selva Marina Drive Atlantic Beach, FL 32233 Florida Department of Health - Duval 900 University Boulevard N, Suite 300 MC-45 Pool Volume: 179,500 Bathing Load: 110 Jacksonville, FL 32211 DUPLICATE-CUSTOMER (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY Operating Permit Permit Number: 16-60-1584521 FNMAudit Control: 16-PID-2601813 HEALTH Swimming Pools - Public Pool > 25000 Gallons County. Duval __buys/Canty Issued To: Atlantic Beach Country Club 1600 Selva Marina Drive Date Paid: 02102/2015 Issue Date: 02/24/2015 Atlantic Beach, FL 32233 Not Approved for Nighttime Swimming SUBJECT TO ANNUAL RENEWAL FEES INITIAL PERMIT(Engineering Use Only) Mailed To: Atlantic Beach Country Club 1600 Selva Marina Drive Florida Department of Health - Duval Atlantic Beach, FL 32233 900 University Boulevard N, Suite 300 MC-45 Jacksonville, FL 32211 Pool Volume: 179,500 Bathing Load: 110 FILE-COPY (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY Operating Permit Permit Number:16-60-1584526 HEALTH Swimming Pools -Water Activity Audit Control 16-PID-2601814 t6"11-� County Duval Issued To: Atlantic Beach Country Club 1600 Selva Marina Drive Date Paid 02/02/2015 Atlantic Beach, FL 32233 Issue Date: 02/24/2015 Not Approved for Nighttime Swimming SUBJECT TO ANNUAL RENEWAL FEES INITIAL PERMIT(Engineering Use Only) Mailed To Atlantic Beach Country Club 1600 Selva Marina Drive Florida Department of Health - Duval Atlantic Beach, FL 32233 900 University Boulevard N, Suite 300 MC-45 Pool Volume 300 Bathing Load: 10 Jacksonville, FL 32211 ORIGINAL-CUSTOMER (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY Operating Permit Permit Number: 16-60-1584526 Audit Control: 16-PID-2601814 HEALTH Swimming Pools -Water Activity ouvaidiwiy Not Approved for Nighttime Swimming County: Duval Issued To: Atlantic Beach Country Club 1600 Selva Marina Drive Date Paid: 02/02/2015 Atlantic Beach, FL 32233 Issue Date: 02/24/2015 INITIAL PERMIT(Engineering Use Only) SUBJECT TO ANNUAL RENEWAL FEES Mailed To Atlantic Beach Country Club 1600 Selva Marina Drive Atlantic Beach, FL 32233 Florida Department of Health - Duval 900 University Boulevard N, Suite 300 MC-45 Pool Volume: 300 Bathing Load 10 Jacksonville, FL 32211 DUPLICATE-CUSTOMER (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE FLORIDA DEPARTMENT OF HEALTH IN DUVAL COUNTY Operating Permit Permit Number 16-60-1584526 Audit Control 16-PID-2601814 HEALTH Swimming Pools -Water Activity isDwaled To: Atlantic Beach Country Club unty County: Duval 1600 Selva Marina Drive Date Paid: 02/02/2015 Atlantic Beach, FL 32233 Issue Date: 02/24/2015 Not Approved for Nighttime Swimminq SUBJECT TO ANNUAL RENEWAL FEES INITIAL PERMIT(Engineering Use Only) Mailed To: Atlantic Beach Country Club 1600 Selva Marina Drive Florida Department of Health - Duval Atlantic Beach, FL 32233 900 University Boulevard N, Suite 300 MC-45 Pool Volume: 300 Bathing Load: 10 Jacksonville, FL 32211 FILE-COPY (Non-Transferable) DISPLAY CERTIFICATE IN A CONSPICUOUS PLACE