290 Beach Ave elec pool permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
Qj
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NE)(T DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 16-ELEC-2050
Job Type: ELECTRIC ONLY
Description: ELECTRICAL- SWIMMING POOL
Estimated Value:
Issue Date: 9/13/2016
Expiration Date: 3/12/2017
PROPERTY ADDRESS:
Address: 290 BEACH AVE
RE Number: 170196-0010
PROPERTYOWNER:
Name: PITLER, ANDY
Address: 273 OCEAN BLVD
GENERAL CONTRACrOR INFORMATION:
Name: BEACHES ELECTRIC SERVICES INC.
, ER0013172
Address: 214COKESBURYCT QA TODD ASTOR LOCKINOOD
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: $99 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC REACH ORDINANCES AND THE FLORIDA
BUILDING CODE&
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Serninole Rd,Atlantic Beach Fl,32233
Ph(904)247-5826 Fax (904)�47-5845
JOB ADDRESS: '-� C? C4-, C-t' PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS —VOLTS PHASE
VALUE OF WORK$_
NEW SERVICE El Overhead Underground [D Underground up Pole
OResidential(Main)Service
00-100 maps 0101-150amps El 151-200amps 0------amps h!of Meters
OCommercial(Main)Service
EIO-100 maps 0101-150amps 0 151-200=ps O—amtps OCT Service maps
Conductor Type size
OMulti-Family(Main)Service
00-100 maps 13101-150amps 0 151-200amps 11 amps #of Unit Meters
OTemporary Pole Omps
SERVICE UPGRADE 0--amps D CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
D 100 amp s 0150amps 11200=ps 0amps OCT Service—maps
ADDITIONS,REMODELS,REPAIRS,BUELD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30anaps 31-100amps —101-200amps
Appliances: —0-30amps 31-100amps —101-200amps
A/C Circuits: 61-100amps
Heat Circuits: # circuits akw
Number of Lighting Outlets, Including Fixtures:
OTHER,ECECTRICAL PROJECTS
8SwimmingPool OSign 0 Smoke Detectors_Qty ElTransforners KVA []Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty—volts/arrips— VALUE OF WORK$
REPAIRS/MISCELLANEOUS
OReplaoc Burnt/Damaged Meter Can 0 Safety Inspection E]Panel Change [1OHtoUG
[]Other:
Permit becomes void if work does at comanswe within a six month period or work is suspended or abandoned lior six months I hereby otatify that I have
mad this application and know the same to be one and correct. All proAsions 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 my other state or local law regulation coustomfion or the performance of
construction.
Property Owners Name -e-, Phone Number
Electrical Company 'Be
n C.)�2&z ej7S)jC <�-yz Office Phone_LIS,3\MFax_
Co.Address: a14 0:"V'-DID�r4 s-� city C" C 5 Staten- zipf'g�-03
License Holder(Print): kd�' Ls=��L-30'j Sfate.�on/Registration#
Alotari
fre —y'
nature of Notary Public