153 Belvedere St pool elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-2682
Job Type: ELECTRIC ONLY
Description: swimming pool electrical line
Estimated value: $500.00
Issue Date: 11/30/2016
Expiration Date: 5/29/2017
PROPERTY ADDRESS:
Address: 153 BELVEDERE ST
RE Number: 170584-0500
PROPERTY OWNER:
Name: JONES, JASON W&WHITNEY, '
Address: 153 BELVEDERE ST
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
David Thomas Pruette,EC0002923
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
1-pu
CITY OF ATLANTIC BEACH
500 Seminole-Rd Adantic Beacb FL 32233
Ph(904)247-5826 Fax(904)247-5845 LSC- ga
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JOB ADDRESS: PERMIT# 1(o-(�aL-2138
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
/ B9
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ED Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters_
❑Commercial(Main)Service
00-I00amps 0101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
OMuld-Family(Main)Service
00-100 amps - 0101-150amps ❑151-200amps 0 amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps O CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-IOOamps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER VMCTRICAL PROJECTS
'nuning Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WOR%$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can USafety Inspection OPanel Change ❑OH to UG
❑Other:
Permit becomes void if work does not commence within a she 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 tamed. All provisions of laws and ordimnces 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 construction or the performance of
connection.
Property Owners Name /+ Phone Number
ber ��G �
Electrical Compary�, O✓G I/ft. Office Phone Nt
/A" &15 Faxgys�-'7�
Co.Address: &L City &jjjQL AYL State-a
License Holder(Print): cation/Registration#
Notarized Signature of License Holder
Before me this'-2514day of OPQfEr 20
CHO ROBERTS
COMMISSI21.1186 Signature of Notary Public