467 Whiting Ln elec pool permit 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-1919
Job Type: ELECTRIC ONLY
Description: ELECTRIC- SWIMING POOL
Estimated Value:
Issue Date: 8/23/2016
Expiration Date: 2/19/2017
PROPERTY ADDRESS:
Address: 467 WHITING LN
RE Number: 171435-0000
PROPERTY OWNER:
Name: Hixenbaugh, Cheryl
Address:
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE
Phone: -
FEES:
State Else 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 FLORHIA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 _ELEC_r 9 1
111_-7 I I'1 r, Ph(904)247-5826 Fax (904)247-5845 ILP
JoBADDRESS: ,4t 1 WTf)� LaIte. —PERMIT#Ity-fWl- 155
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE:
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
Plitaidenaal(Main)Service
❑0-100 amps 1 101-150amps 1.:!151-200amps amps #of Meters_
fl Commercial(Maio)Service
I10-100 amps i:101-150amps f1151-200amps amps ICT Service_maps
Conductor Type Size
Multi-Family(Main)Service
1.10-100 amps 1101-101 f z 151-200amps _ amps #of Unit Meters
[Temporary Pole !.] amps
SERVICE UPGRADE Iamps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 200amps [-'—=PS ICT 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:
OTEEER)ECECTRICAL PROJECTS
ItSwimming Pool '.:i Sign ['Smoke Detectors_Qty ❑Transformers KVA '._'.Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORKS
REPAIRS/MISCELLANEOUS
":Replace Buna/Damaged Meter Can Safety Inspection ❑Pana)CItange ❑OH to UG
❑Other:
Permit biomes void if work does nm 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 luww the same to berme 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 scare or local law regulation consmrcrion or the performance of
construction. ey1
Property Owners Natm�e� Xe t Vlll1N h 7�1i, c-4 Phone Number
Electrical Company llIVn1� �rzolfe!S ELI dt� sl xNkie5, OfficGe�,.Phone a/ ��� Fax2:Y.L- -`�
Co. Address: �� T�I'(C!)Q�k72n lanIt Cityt aSg QGIr e- State Zip 3W(4
License Holder(Print): v,d 7 ru e ' ication/Registration#
Notarized Signature of License Holder
CHO ROBERTS Sworn and subscribed before me this y of /T'^ t< 20 Ile
i,.yyyMY CUMs:Maw, 1, IS
rxv�aes:aus�r 21,MIS Signature of Notary Public