787 CAVALLA RD - ELECTRIC POOL CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
30B INFORMATION:
Job ID: 15-ELEC-1401
Job Type: ELECTRIC ONLY
Description: elec for pool
Estimated Value:
Issue Date: 6/15/2015
Expiration Date: 12/12/2015
PROPERTY ADDRESS:
Address: 787 CAVALLA RD
RE Number: 171350-0000
PROPERTY OWNER:
Name: ROYS,WILLIAM J
Address: 787 CAVALLA RD
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE
Phone: -
FEES:
State Bee DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Swimming Pools $40.00
Trade Permit Base Fee $55.00
Total Payments: $99.00
46 SCAN; ED
a
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233:
737
/ /� Ph(904 2��J7-5826 Fax(904)247-584$ . -PER1T#-
FOB ADDRESS: / V 1�(r� ea,14II`n ��^
4EW SERVICE E30verhead ❑ Underground ❑Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps D151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service_amps
Conductor Type Size
❑Matti-Family(Main) Servlce #of Unit Meters
00-100 amps 0101-150emps 0151-200amps ❑ amps
❑Temporary Pole ❑ PMPs ❑ CT Service_amps
SERVICE UPGRADE ❑ amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,FTC*)
❑*)S�ce_amps
❑100atnps 0150amps 0200amPs
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Ouftets/Switches: 0-30amps 31-100amps l0l-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:
OTuEFAUCTRICALPROJECTS
Sn+immingPool ❑ Sign ❑Smoke Detectors QtY ❑Traosformers KVA ❑Momts_hp
'FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty_volts/amps VALVE OF WORK
REPAIRS/MISCELLANEOUS
❑Replace Bmnt/Dameged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other:
Petmitbecanesvoid if ork docs not commence widtin asix m°mh Pmod or work is suspended
or abmdoned for six months. I hereby certitydmt/have
read this application®dlmow the sense SO be true and wrrecc All provisions of taws and ordinecces gowning this work will be complied with whether
specified or,not The permit doer not give authoritytoviolmedeprovisions Of my otherstaa or local lawreguleRon eonstmction or the paf°rmanu of
construction. l3srol5 �-89D
Property OwnersName ""t� Phone Number
Electrical Company iGt ( LCO Y IS �12C Fn7c6 @ SW-5 Office Phoae727oZ 1 � Fa �-�2-; `,
Co.Address: X31-8 ityLo ta&WC ark- State!EZ�ryZip
^32,Q(aS-
Littnse Holder(Print): V I St 'ea(Be tg_att8tion#
Nollare o License Holder \
CHO ROBERTS Swom'and subscribed before me rh,a )5 day of )N,O '� 20�
MT COMMISSION#FFIS3136 �6 IISI��I,-�
FJ(e1RFS:Au 2l,mla •. Sill=of Notary Public l