320 Beach Ave - Swimming Pool (2) - j !...A_I j
' ` '" CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
- 61111 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: 16- ELEC -69
Job Type: ELECTRIC ONLY
Description: Swimming Pool
Estimated Value:
Issue Date: 1/12/2016
Expiration Date: 7/10/2016
PROPERTY ADDRESS:
Address: 320 BEACH AVE
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: BOSCO BUILDING CONTRACTORS
Address: 2158 MAYPORT RD QA TODD ALBERT BOSCO
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.
From:BOSCO BUILDING CONTRACTORS INC 904 241 0326 01108/2016 16:13 11287 P.001/001
ELECTRICAL PERMIT APPLICATION \---CC--C-
---CC-- C — CC-\
CITY OF ATLANTIC BEACH \ .
800 Seminole Rd, Atlantic Beach, FL 32233
vJ� Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: W l A r ' ( PERMIT #
IM C T4 : 0 , f . 7)7x33 - COD JEA INFORMATION REQUIRED ON ALL PERMITS AMPSO VOLTS ` PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential (Main) Service
O 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps 0 amps # of Meters
❑ Commercial (Main) Service
❑0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi- Family (Main) Service
❑0 -100 amps ❑ 101- 150amps 0 151- 200amps ❑ amps # of Unit Meters
❑ Temporary Pole ❑ amps _
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑ CT Service amps
ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC.
Outlets/Switches: 0- 30amps 31 -1 00amps 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:
OTIIE LECTRICAL PROJECTS
Swimming 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
E_ Replace Burnt/Damaged Meter Can ['Safety Inspection ❑Panel Change 0 O 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 goveming 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 '7 1 ' tk / Phone Number ` - O� � O
Electrical Company 1 l � , � A 4 '' Office Phone r%0iz' Fax CA
Co. Address: 9*3 M C t .'J- I 6 i City
PALia_a,aL
State a' _ Zip
License Holder (Print): q/n V_- 60a,0 N., State Certification/Registration # 3 - 0 \'5
Notarized Signature of License Holder / -
Sworn and subscribed befe me this day of 20