1657 SEMINOLE RD ELECTIC POOL 7-S Iv11l�r%n .
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: 15-ELEC-1226
Job Type: ELECTRIC ONLY
Description: ELEC FOR POOL
Estimated Value:
Issue Date: 5/26/2015
Expiration Date: 11/22/2015
PROPERTY ADDRESS:
Address: 1657 SEMINOLE RD
RE Number: 169564-0030
PROPERTY OWNER:
Name: SMITH, MARK
Address: 1015 ATLANTIC BLVD STE 99
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE OA 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
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7 Ph(904)2477-5/826 Fax(904)247-5845 pay;
JoB ADDRESS: Ap / �in0/e FQ PERMIT O�rD
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK 5
NEW SERVICE ❑ Overbead ❑ Underground Underground up Pok
Residential(Main)Service
0-100 amps L101-150amps 0151-200amps amps #of Meters_
Commercial(Main)Service
0-100amps 0.101-150amps 151-200amps amps OCT Service_amps
Conductor Type Size
❑Multi-Family(Maio)Service
00-100 amps O 101-150amps [_151-200amps �-] amps #of Unit Meters
❑Temporary Pok a amps
SERVICE UPGRADE G amps :7 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
O 100 amps O I50amps 0200 unps amps OCT Service_amps
ADDITIONS,REMODELS,REPAHL4,BUH"UTS,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 Q kw
;Swt�','X
mber f Lighting Outlets, Including Fixtures:
CTRICAL PROJECTS
ming Pool 1 Sign O Smoke Detectors_Qty ❑Transformers KVA 7Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORK S
REPAIRS/MISCELLANE0US
❑Replace Bumt/Damaged Meter Can Safety Inspection EPanel Change SOH m UG
l:,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 1 have
read this application end know the same to be me 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 Frt/<w. Phone Number
Electrical CompanyVid RuA4N?5 Ckiobnc l Serl/:ces Office Phone oX7d.70 0S Fax es7-7o272a-5'
Co.Address: 33/4 Parkndflue ei Din state zip3246-
Lice se Holder(Print): IaV4 RTieAp a 'fication/Registration# -CL
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Notarized Signature of License HolderLK ,G
CHO ROBERTS S and subscribed before me this day of_sl_RNY�n.L 20�
MY C0MMIa510a1FF133U6 _
Fxrraa4ta 2l.aa Signature of Notary Public