1619 ATLANTIC BEACH DR - ELECTRIC (2) .1 CITY OF ATLANTIC BEACH
Ai j 800 SEMINOLE ROAD
5 ;". 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-1542
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SWIMING POOL
Estimated Value: $1,950.00
Issue Date: 7/8/2016
Expiration Date: 1/4/2017
PROPERTY ADDRESS:
Address: 1619 ATLANTIC BEACH DR
RE Number: None
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANAI(' 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: l[° /9 ,4%'/2 .1/1 G ge 2e 4 Dr PERMIT# /4- /17040/-AV.
JEA INFORMATION REQUIRED ON ALL PERMITS 01,0p AMPS VOLTS PHASE
VALUE OF WORKS /950, po
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
❑Residential (Main) Service
G0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
Commercial(Main) Service
GO-100 amps 0101-150amps 0151-200amps ❑ amps GCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps C amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps 0 amps CCT 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 S
REPAIRS/MISCELLANEOUS
DReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH 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 I:b-ep-t Phone Number
Electrical Company Pla6r.1 ��rdr;e2/4,041`mc_ Office Phone 9/ly-(' -oft? Fax99' 4/9
Co. Address: PO BpiC 3ses 7 9 City .-,( e7)C State/'7 Zip 3'#J,s
License Holder (Print): d0 A/107 V lila a State Certification/Registration# Fe 000/70 4
Notalr �:atleig �,�j i _i
::f " .11 Notary Public•State of nor* p� �Q
I �� :,:.# My Comm.Expires Aug 25,2 0' rn an. ubscri,ed before ""- this Y day .f /
--;:,,,,,i':, commission
.... eona.a euo al 148708
o870 Sjo_tature of Notary Public ,/. _ !` / ,/ /
I
Jul. 8. 2016 8:40AM Moore Electrical Contractors No. 3083 P. 1
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1 ( -E C.- is 4 Z_
FOB ADDRESS: /Z /9 /77:474/1/a &2&A 1, PERMIT# /g /70o//ita
!EA INFORMATION REQUIRED ON ALL PERMITS .07.e.6 AMPS _ VOLTS PHASE
VALUE OF WORK S /f'Q. °°
STEW SERVICE I 1 Overhead LI Underground D Underground up Pole
OResidential(Main) Service
E0-100 amps 0101-150amps CJ 151-200amps 0 amps # of Meters
2 Commercial (Main) Service
00-100 amps 0101-150amps C 151-200amps 2 amps CT Service amps
Conductor Type Size -
❑Mniti-Family(Main)Service
C0-100 amps 3 101-150amps 0 151-200amps amps # of Unit Meters _
❑Temporary Pole 0 amps
;ERVICE UPGRADE 0 amps 0 CT Service amps
rrEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
amf 0200amps 0 amps `CT Service amps
LDDITION0100S,REMODELSps l50amps,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-1 QQamps _101-200amps
Appliances: 0-30amps 31 100amps 101-2QQamps
A/C Circuits: 0-60amps 61-IOQamps
Heat Circuits: ti circuits `@__ kw
Number of Lighting Outlets, Including Fixtures:
I )THER ELECTRICAL PROJECTS
XSwimming Pool 0 Sign 0 Smoke Detectors Qty :Transformers KVA :Motors hp
;IRE ALARM SYSTEM (Requires 3 sets of plans &Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
2EPAIItS/iY1_ISCELLANEOUS
CReplace Burnt/Damaged Meter Can 0 Safety Inspection :Panel Change OOH to UG
Other:
ermit 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
:ad 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
oecified 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
instruction.
'roperty Owners Name6..,,_,L-
..._/ Phone Number_ _
;lectrical Company / ors / iis.7,2 4w7z;;/C.- Office Phone 9 7 Fax 9:0'Y4 Y
:o. Address: PO apse (DS _ Citysxx -. State/7 Zip.rett _
.icense Holder (Print): JOA/AO 72/"LD oder' State Certification/Registration# FeDervi/74fe)
`„ate.+6.0i =
arj �
:g my Conn Aug nor*.
m an' ubscri,-d before this ; day .f 20/4
� %,f, ;s Commkelon!FF 148708
aoraea tlogoi►.� a£iz�iature of Notary Public //. %/ ii.„. .. / ,