344 5th St. Elec for Pool 2014 \y'�J ]']'
, s . ` CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
". ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 14-ELEC-537
Job Type: ELECTRIC ONLY
Description: ELEC FOR POOL
Estimated Value:
Issue Date: 12/2/2014
Expiration Date: 5/31/2015
PROPERTY ADDRESS:
Address: 344 5TH ST
RE Number: 169836-0020
PROPERTY OWNER:
Name: GREENE III, CLARENCE & ASHLEY,
Address: 344 5TH ST
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT., INC.
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE
Phone: - -
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
LPh(904)247-5826 Fax (904) 247-5845
JOB ADDRESS: ��/�/ 1i � �I ! �� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2(fin AMPS ;%%_VOLTS PHASE
VALUE OF WORK$
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 ❑CT 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 ❑CT Service 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 ELECTRICAL PROJECTS
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 ❑Safety Inspection El 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 C Y�j0/1 Phone Number
Electrical Company M 0,9v--e Office 1 [i�.✓T .L�+/C= Office PhoneJ6y-6y �%7 Fax9dyl�/S��-�7�
Co. Address: ��(a 1-30X 3" D'O'vj City '-1,t State Zip 3;.:Z
License Holder (Print): "jo A/ti' 'D N, State Certification/Registration# C-CO 0 D/7"!
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Notary Public-Sfate of Florida I M Comm.Expires Aug 25,2018 worn subscr' ed before thi��day of � /� L ?0 o Y�°m�1 FF 118708
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