1703 E Park Ter pool elec 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-2334
Job Type: ELECTRIC ONLY
Description: swimming pool electrical wire
Estimated Value: $1,765.00
Issue Date: 10/182016
Expiration Date: 4/16/2017
PROPERTY ADDRESS:
Address: 1703 E PARK TER
RE Number: 172020-0240
PROPERTY OWNER:
Name: LEE, JENNY CLARE & MICHAEL D,
Address: 1703 E PARK TER
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT., INC.
Jonny Dale Moore, EC0001740
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE
MOORE
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 ��0_E[_EC.— a 33
Ph(904)247-5826 Fax(904)247-5845
.TOB ADDRESS: /7e l-k f r-✓�� .� PERMIT#/4iPdo%/?PO
JEA INFORMATION REQUIRED ON ALL PERMITS _,26—0 AMPS VOLTS PHASE
VALUE OF WORK$J7G S
NEW SERVICE ❑ Overhead El Underground ❑I Underground up Pole
❑Residential(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps 4o Meters_
❑Commercial(Main) Service
00-100 amps D101-150amps 0151-200amps ❑ amps CCTService_amps
Conductor Type Size
❑Multi-Family(Main)Service
CO-100 amps 0101-150amps D151-200amps []_____amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps CCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC-
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: - 0-30amps 31-100amp3 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
CReplace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH m 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 berehy 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 14evy Phone Number
Electrical Company &)14 G t 4 -ey /IF
� r `tifr Office P07 hone*n6y Fax90f-j&*L51J-7
Co. Address: AO&C_'7,'L`O,t'7% City --10.e State Zip�1 4.-.
License Holder(Print): �T N.✓ State Certification/Registration#�G eoo/7h'O
Nota =fFj9' gatr�pMal
e- NororyFbripa subscr' ed befor this day of 20�? rx1Y Com15, 11' —„ Com8701aee m .Bi lure of Notary Public