338 4th St pool elec permit 4'f
CITY OF ATLANTIC BEACH
> 800 SEMINOLE ROAD
jj +I ATLANTIC BEACH, FL 32233
j
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
]OB INFORMATION:
Job ID: 16-ELEC-2157
Job Type: ELECTRIC ONLY
Description: ELECTRIC FOR SWIMMING POOL
Estimated Value:
Issue Date: 9/26/2016
Expiration Date: 3/25/2017
PROPERTY ADDRESS:
Address: 338 4TH ST
RE Number: 169818-0000
PROPERTY OWNER:
Name: Smith, Brendan P
Address: 13846 Atlantic BLVD #809
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
David Thomas Pruette, EC0002923
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS
PRLIETTE
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.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
_—800_Seminole-Rd,Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845
�.L
JOB ADDRESS: )�pp T"\ 131ree PERMIT# p�-
TEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground 0 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-I50amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Malti-Family(Main)Service
00-100 amps 0101-150ampS ❑151-200amps ❑ amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
-AIC-Gireuits�-----0 60AMPS 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTHERR dECTRICAL PROJECTS
wimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OFWORS E
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other.
Permit becomes void if work docs not commence within a sin 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 goveming 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 Nam ,n Phone Number i,la I�l1a33
Electrical CompanytE
�,'^ SVCOffice Phone 0-M"180-5 Fax Gt 1a-72o-1
Co.Address: 11VL City w State a zipg2c s
License Holder(Print): Certification/Registration#LL(.UD723
Notarized Signature giFLieense Holder
CHO ROBERTS Before me this day of 20 1
MY COMMISSION X FF1531M
"ars^"si11'2D18 Signature of NotaryPublic