350 3RD ST - ELECTRIC SWIMMING POOL ji
\J`J�.
'`' J`S, CITY OF ATLANTIC BEACH
I
J
800 SEMINOLE ROAD
J'� ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
\O„l c r
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3407
Job Type: ELECTRIC ONLY
Description: electrical for swimming pool
Estimated Value:
Issue Date: 3/3/2017
Expiration Date: 8/30/2017
PROPERTY ADDRESS:
Address: 350 3RD ST
RE Number: 169784-0000
PROPERTY OWNER:
Name: Henderson, Jacqueline
Address: 350 3Rd 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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACJL
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 11--61-6&-•3`tOf
JOB ADDRESS: Third Slret PERMIT#17401-.3a7
7
SEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead I I Underground U Underground up Pole
❑Residential(Main) Service
00-100 amps C 101-150amps Li 151-200amps Li amps #of Meters
❑Commercial (Main) Service
❑0-100 amps C 101-150amps 151-200amps L; amps OCT Service amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps ❑101-150amps ifl 151-200amps n amps #of Unit Meters
ElTemporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps ❑150amps ❑200amps i7 amps OCT Service 'lam t111= C (cLSam [j v 2
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,E LS
Outlets/Switches: 0-30amps 31-100amps 101-2 s MAR
2 -
2017
r
Appliances: 0-30amps 31-100amps 101-2 �s ,.
I A f
A/C Circuits: 0-60amps 61-100amps i_____ ,_J
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: ------ m
OTHEIWLECTRICAL PROJECTS
/'Swimming Pool E Sign ❑Smoke Detectors Qty ❑Transformers KVA UMotors hp '
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/M1SCELLANEOUS
=Replace Burnt/Damaged Meter Can USafety Inspection ❑Panel Change CIOH to UG
C Other:
Permit becomes void if work does not commence within a six 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. AU 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. LL •
Property Owners Name�C h 1/flq� A /?.1Y Phone Number
Electrical Compania r e `MY 6ec ca 61(c. Office Phone --7R5 Fax RV-7717
Co. Address: J._I ' d ) Q r . �' City tel! L! ,k Stated Zip ar6.
License Holder(Priv. Prt� /' / tate Certification/Registration#
Notarized Signature of License Holder /
�n` °° CHO ROBERTS Before me this a- day of R ki 20 \-1
.MY COMMISSION FF153136
EXPIRES:August 21.2018 Signature of Notary Public 1
. ,