1871 Atlantic Beach Dr elec pool wire 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-SS14
JOB INFORMATION:
Job ID: 16-ELEC-1740
Job Type: ELECTRIC ONLY
Description: pool wire
Estimated Value: $1,000.00
Issue Date: 9/28/2016
Expiration Date: 3/27/2017
PROPERTY ADDRESS:
Address: 1871 ATLANTIC BEACH DR
RE Number: None
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
David Thomas Pruette,ECO002923
Address: 331 -8PPARKRIDGEAVE QADAVIDTHOMAS
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: $99.00
PERNIIT IS APPROVED ONLY IN ACCORDANCE WnH ALL CITY OF YrLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax (904)247-5845 D
JoBADDREss: 19'71AAY�d*d &ae�z at PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
40 1�Ij
VALUEOFWORKS 1, Q0D
NEW SERVICE [__1 Overhead Underground 0 Underground up Pole
DResidential(Main)Service
[10-100 maps 0101-15omps 0 15 1-200arrips U-Srups #of Meters
OCommercial(Main)Service
DO-100amps 0101-150arrips 0 151-200amps F1_ amps OCT Service_amps
Conductor Type_ Sim
[]Multi�Fandly(Main)Service
00-100 amps 0101-150amps 11 151-200amps 11 amps #of Unit Meters
DTemporary Pole O-Srops
SERVICE UPGRADE 11 amps 0 CT Service_anaps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
E1100arrips E1150amps 0200amps O-scups OCT Service strips
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps -10 1-200amps
Appliances: _0_30amps 31-100amps _101-200amps
A/C Circuits: -0-60amps 61-100amps
Heat Circuits: - # circuits
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
SwimmingPool DSign DSmokc Detectors_Qty ElTransforners KVA ']Motors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps_ VALUE0FpP0RK$_1,
REPAIRS/MISCELLANEOUS
OReplace BurntlDmmaged Meter Can F1 Safety Inspection DPanel Change OOHtoUG
Miter:
Permit becomes void if work does not commerce within a six month period or work is suspended or abandoned for six months. I hereby cartity,that I have
read this application and know the same to be true and comxc All provisions of laws and ordinances governing this work will be complied with whethe,
specified or not. Ile peruit does not give authority to violate the provisions of my other state or local law regulation construction or the performance of
constoution.
Property Owners Name7—,o//FL VT 'LM. Afiref,56,'P PhorieNumber ge*- al -7-om
Electrical Company David Pruette's Electrical Services, Inc. -Office Phone 904-272-7225FaX904-272-7229
Co.Address: 331-8 Parkridge Avenue City Oran Park State FL Zip 32065
License Holder(Print): David Pruette Sta� drion/Registration# ECO002923
Notarized;g-nmrearLicony
ter
P OTURNER
MyCOMMISSIONOFFOM2 wom:;:�anEubscribed before ethis "dayof 4z�Ijul 2Qg/o
EXPIRES.sxsmwr 14,2011
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
09/2WM16 09:12:56
CREDIT CARD
VISA SAL'
Old# =WAW9505
SEQ#� I
Sim#: 215
INVOICE I
Appro4 Code: 081259
Filky WW: Maui
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Ta mad, $0.00
Cid cok M
SALEAUNT 000
CWTOM copy
800 SPAINOLE Roi'D 32233
AlLfNTIC 9ERE8, FL
POE ('304) Z47-5955
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Cashier W a 9129/201S 9:16141 M
Receipt Data: OS-71ZZ5
Receipt "be" I ire EDWR - S'
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flllt Nei $99-00 Ent, sss-10
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larder Type: Cl$99.00
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