1303 Beach Ave - Electric Only 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
JOB INFORMATION:
Job ID: 16 -ELEC -374
Job Type: ELECTRIC ONLY
Description: POOL
Estimated Value:
Issue Date: 2/16/2016
Expiration Date: 8/14/2016
PROPERTY ADDRESS:
Address: 1303 BEACH AVE
RE Number: 170296 -0000
PROPERTY OWNER:
Name: LAMBROU JR, FRED H
Address: 1998 RIVER RD
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT., INC
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE
Phone: - -
FEES:
Trade Permit Base Fee $55.00
Swimming Pools $40.00
State Elec DCA Surcharge $2.00
State Elec DBPR Surcharge $2.00
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
Q, Ph (904) 247 -5826 Fax (904) 247 -5845
JOB ADDRESS: /303 B-ea7C/j 41k4 PERMIT # /CP 33
JEA INFORMATION REQUIRED ON ALL PERMITS ,Z0 p AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE n Overhead n Underground 11 Underground up Pole
❑Residential (Main) Service
❑ 0 -100 amps ❑ 101- 150amps ❑ 151- 200amps ❑ amps # of Meters
iC Commercial (Main) Service
❑ - 100 amps 0101- 150amps 0151- 200amps ❑ amps CCT Service amps
Conductor Type Size
:Multi-Family (Main) Service
00 -100 amps 0 101- 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 ELECTRICAL PROJECTS
,Swimming Pool ❑ Sign :Smoke Detectors Qty :Transformers KVA ❑ 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 D 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 le7A 6 You., Phone Number
Electrical Company MODY•fig,e/ki C2 / CD�7 '' Office Phone T 4ysi67Fax
Co. Address: Z r3 35"i"s29 , � Cit •.1 G7,� State J7 Zip.r
License Holder (Print): pti / /O• State Certification/Registration # /" eG/7re
Notrii,4 1 7.711 at
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= • * c' : Notary PUbk State of Florid 1
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� • -- ° �; :,� Bonded through National Notary A�i of Notary Public