330 ROYAL PALMS DR - ELECTRIC POOL � , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
3 'y ;r 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-1223
Job Type: ELECTRIC ONLY
Description: SWIMMING POOL ELECTRIC
Estimated Value:
Issue Date: 5/27/2016
Expiration Date: 11/23/2016
PROPERTY ADDRESS:
Address: 330 ROYAL PALMS DR
RE Number: 171708-0000
PROPERTY OWNER:
Name: SALZ, SCHUYLER J
Address: 330 ROYAL PALMS DR
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 1(-ELCC'` i Zz3
JOB ADDRESS: 330 2.cmco .wrn�. r. PERMIT#Ro— Dt ' II(S
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground nl Underground up Pole
Residential (Main)Service
0-100 amps 101-150amps 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
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
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 • . •- . . • . ve
read this application and know the same to be true and correct. All provisions of laws and ordinances governing thi• "•�'?,,, • .. . Kl7 Vii,ltr§
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulati • • . � c t��8 -aunt
construction. �,.� EXI'iRfs August 21.2018
,OF f,"
Property Owners Name'C) 5,��� Phone Num ser
Electrical Companyle.
U 6e Htt 'S L C(edY-ce-1 1 CQS Office Phone c7ti D -S
Co. Address: 331- P4rkfl0SJ2 Atte_ City DIY(l.V PAr{• - State L Zip SZCXec
License Holder(Print): V'd iru '2 _ ., tat ertification/Registration#
C.003252
Notariz i, nature of LicenseHolder
;,4�' ER'TS
Sworn and subscribed before me this day of jr t 7 20
4 v M * 614 M FF 153136 A J!6
t s: 21,2018 Signature of Notary Public l/V