1241 OCEAN BLVD - POOL ELECTRICAL (--j r\.,\r. 5, CITY OF ATLANTIC BEACH
--•
j 800 SEMINOLE ROAD
�j ' /: ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2451
Job Type: ELECTRIC ONLY
Description: POOL ELEC
Estimated Value:
Issue Date: 10/15/2015
Expiration Date: 4/12/2016
PROPERTY ADDRESS:
Address: 1241 OCEAN BLVD
RE Number: 171829-0000
PROPERTY OWNER:
Name: EZELIUS, PER OLOF
Address: 356 10TH 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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: Ja L/l aCt°Q12 /3Jvc PERMIT# /S-pLwt-940
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground nJ Underground up Pole
Residential(Main)Service
0-100 amps 10l-150amps 151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps CT 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 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER .ECTRICAL PROJECTS
wimming Pool Sign 'Smoke Detectors Qty Transformers KVA Motors 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 OH 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 ph i f i p5 pi g6 Phone Number p S
9 -9 l�s
Electrical CompanylU k Rte t5 C1 di Ce �._V i CQ S
Office Phone oia; Fax - 7 -
Co. Address: 33A PArk -fds e Ave_ City 014(1V PaH - Stater L Zip 37-045
License Holder(Print): V'd 'Phi• 'ei/ /Aerta; ertification/Registration # EC OZ'Z3
Notarized Signature of License Hold' .siae/�i/-�
worn and subscribed before me this 3 Delormg. 20 1 r
CHO ROBERTS
MY COMMISSION a Fl 153136
EXPIRES:August 21.2018 Signature of Notary Public