349 3RD ST 2015 ELEC 1S, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
1 - rj ATLANTIC BEACH, FL 32233
D
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-118
Job Type: ELECTRIC ONLY
Description: swimming pool
Estimated Value:
Issue Date: 1/15/2015
Expiration Date: 7/14/2015
PROPERTY ADDRESS:
Address: 349 3RD ST
RE Number: 169823-0000
PROPERTY OWNER:
Name: HOFFMAN, DAVID A
Address: 349 3RD ST
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845
JOB ADDRESS: PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑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 -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 31-1 00amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number f Lighting Outlets, Including Fixtures:
OTHE LECTRICAL PROJECTS
Swimming Pool Sign Smoke Detectors_Qty Transformers KVA iMotors 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 _iOH 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
I- y i(l__ Phone Number Lo- 7S
Electrical Company id 6y6ff_ 6(e6n 5W-5 Office Phone 97,)_-_7D-_1--S_ Fax a-7a_7�7
Co. Address: 1 � Ci Q/`�l1(G2 t!,{!`(_ State P– Zip_32
License Holder(Print): vi
e istration# C�'Q 002-1�
Notarized Signature of License Holder
IRCHO ROBERTSSwo and subscribed before me this dayof A-Ny��+Z►/ 20 15
Y COMMISSION 8 FF153136
t?CPIRI S:Augur[21,zing Signature of Notary Public