382 7th St 2014 elec for pool i-�"'�Jlf-
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j r ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
)OB INFORMATION:
]ob ID: 14-ELEC-626
Job Type: ELECTRIC ONLY
Description: WIRE FOR SWIMMING POOL
Estimated Value:
Issue Date: 12/10/2014
Expiration Date: 6/8/2015
PROPERTY ADDRESS:
Address: 382 7TH ST
RE Number: 169907-0000
PROPERTY OWNER:
Name: STEVENS ELIZABETH H & JOHN J,
Address: 382 7TH ST
GENERAL CONTRACTOR INFORMATION:
Name: CES ELECTRICAL SERVICES
Address: 523 SOUTH ELLIS RD GREGORY BLANE JEFFORDS
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
L 3 CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax(9004) 247-5588j45
ADDRESS' ,/ S2- V j v PERMIT#
.+,A INFORMATION REQUIRED ON ALL PERMITS JOC> AMPS VOLTS PHASE
VALUE OF WORK$ oo
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
[]Residential(Main) Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
[]Commercial(Main) Service
❑0-100 amps 1110 1-I 50amps ❑151-200amps ❑ amps [ICT 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 ❑200amps ❑ 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
[I Swimming Pool [I Sign Ll Smoke Detectors_Qty El Transformers KV A Ll Motors
hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[-]Replace Burnt//D�amaged Meter Can El Safety Icn�,�'speection []Panel Change 11 OH to UG
Other: MAO I n "U h S 1 I,,M t,V1 l
Permit becomes void if work does not commence wi6tida six month period or work is su ded or abandoned for sig: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 Y Phone Number
Electrical Company I tr u/y� Office Phone 3"1 sq S Fax L 9-S_02--53
��,3 S ✓I S ,�, �G�� city JQfsoh�/il�State Zip 32Z
Co. Address: C
License Holder(Print)' S State Certification/Registration# T` Vq iz'
Notarized Signature of Lice Hold r
DEBRA JEANBALDWIN
Sworn and subscribed befor me t .s d y f 20
�OHtMIISsiON N F
qty 0236
: ,3t,2ots Signature of Notary Public
t-Wo-}NOrG1�Y fl.Nacery
eco.