306 12 TH ST ELECTRIC POOL CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
PLUMBING PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 15-PLBG-1 227
Job Type: ELECTRIC ONLY
Description: POOL ELEC
Estimated Value:
Issue Date: 5/26/2015
Expiration Date: 11/22/2015
PROPERTY ADDRESS:
Address: 306 12TH ST
RE Number: 171923-0000
PROPERTY OWNER:
Name: TOUSEY JR, CLAY B & PHYLLIS,
Addrew: 2225 ALICIA LN
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8PPARKRIDGEAVE CIA 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 REACH ORDINANCES AND THE FLOWDA
RUILDRR;CODES.
ELECTRICAL PER&ffr APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 30(ol I o2 L' St PERMFr# 15- POIQ�-_01
JEA INFORMATION REQUIRED ON ALL PERM1TS AMPS —VOLTS PHASE
VALUE OF WORK I
NEW SERVICE El Overhand Underground Underground up Pole
-Residential(Main)Service
"(1-100amps L 101-150amps 151-200amps —MPS #of Meters
LCommercial(Main)Service
D10-100amps F 101-150ampts D 151-200arnps Ell amps Fj'CT Service_maps
Conductor Type_ Sin
Multi-Family(Main)Service
10-100 amps ��1101-150amps L1 151-200amps li—amps #of Unit Meters
Temporary Pole Lj______&rnps
SERVICE UPGRADE L1______amps Ll CT Service_amps
NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,ETC.)
0100amps D150amps 0200amps ��_srups ' CT Service—amps
ADDMONS,REMODELS,REPAIRS,HUELD-OUTS,ACCESSORY STRUCTURES,ETC.
OutietstSwitches: —0-30amps 31-100arrips _101-200amps
Appliances: —0.30amps 3 14 Wallops _101-200amps
A/C Circuits: —0-60amps 61-100amps
Heat Circuits: — # circuits@ kw
Number of Lighting Outlets, Including Fixtures:
PROJECTS
OT H`T%1291`pu`�1LD Sign ]Smoke Ddcmms_Qty OTransformers KVA JMotors—his
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/amps— VALUE OF WORKS
REPAIRSIMISCELLANEOUS
rIlkeptace Burnt/Dartaged Meter Can I I Safety inspection "Parsel Change OH to UG
Li0ther:
permit boxames void ifwork doesnot commerce within a six month period orwrk is suspended or abandoned for six m_onffis. I h-crebyeartify that I have
read this applitation and know the same to be anne and wnna�t. 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 my other sme of 10.811.ragulgion omaitruction or the perfonnanoe of
construction.
Property Onvners Name Phone Numb,�(Df
Electrical Corn 'd SV6S__T4lC Office Phone.2_?�l 9_�j:jax,?7.�--7.al
Co. Addposs: 33)-8 Pearkndae Aut CityooTx 1%* state FZ— Zio 9Z
License Holder(Print): vt I P7 yll� e:�Sta�Certificadon/Registration# 6�(!00
Notarized Signature of License Holder
.'�H OB�M. Swo bscribed before me Ws ji _day,f_�jkPJVM/ 20j_�
'g�.R
an. a
Mfltei:�23.2018 Signature of Notary Public