227 BEACH AVE - SWIMMING POOL ELECTRIC i s, C ITY OF ATLANTIC BEACH
v 800 SEMINOLE ROAD
J r 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
30B INFORMATION:
Job ID: 15-ELEC-1995
Job Type: ELECTRIC ONLY
Description: SWIMMING POOL ELECTRIC
Estimated Value:
Issue Date: 8/24/2015
Expiration Date: 2/20/2016
PROPERTY ADDRESS:
Address: 227 BEACH AVE
RE Number: 170189-0000
PROPERTY OWNER:
Name: GOODEN TRUST. CORKIE
Address: 4216 POINT LA VISTA RD
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT.. INC.
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
n Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: 02 oZ 7 / 'e 2 c /4 �'l/k PERMIT#Iy fi00/ve77
EJEA INFORMATION REQUIRED ON ALL PERMITS 3OD AMPS VOLTS PHASE
VALUE OF WORK$ /g' .1. ("a
NEW SERVICE ❑ Overhead ri Underground El Underground up Pole
[Residential (Main) Service
D0-100 amps D 101-150amps [151-200amps ❑ amps #of Meters
[Commercial(Main) Service
[0-100 amps D 101-150amps D 151-200amps D amps [CT Service amps
Conductor Type Size
D Multi-Family(Main) Service
00-100 amps D 101-150amps D 151-200amps [ amps # of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps D CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps D 150amps D200amps D amps [CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-3Oamps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
74. wimming Pool D Sign D Smoke Detectors Qty [Transformers KVA D Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can [Safety Inspection [Panel Change [OH to UG
D 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 1 ‘7061,10.v Phone Number
Electrical Company ! f CPC>>'.e (lie 7 .C e 7&ei J ' Office Phone9Dy�-GY.S-t BUT Fax 909;iS'�S-G�S
Co. Address: Po Box 3s,5-7.7 City j V x State 1 r Zip, '',Z 3S
License Holder (Print): --lo A/A, I'D .- , -e-- State Certification/Registration#fCDDO/Igo
Ni r' Ci' 1aotozitt� to uocck000t1 S ,1 er i%s� �•
4 A Notary Public-State of Florida
My Comm.Expires Aug 25,201S vorn a fu bscrib-d before ►,e this hday of, °le0/
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IN A, Commission#FF 148708
''•�%,°;,;;�`' Bonded, n National Notary nssr nature of Notary Public / // / �ro% — #11/ 1