1695 Selva Marina Dr elec pool permit rSI
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
- 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
]OBINFORMATION:
Job ID: 17-ELEC-3358
Job Type: ELECTRIC ONLY
Description: ELECTRIC - SWIMMING POOL
Estimated Value:
Issue Date: 2/28/2017
Expiration Date: 8/27/2017 -
PROPERTY ADDRESS:
Address: 1695 SELVA MARINA DR
RE Number: 171999-0000
PROPERTY OWNER:
Name: MAXINE MANLOVE, RICHARD HELLER
Address: 1695 SELVA MARINA DR
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 BEACH',
80RSeminole Rd,Atlantic Beach,FL 32233
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JOB ADDRESS: '�A5 SpAa 11 lAA 1111AJ IJI• PERMIT#IC
TEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS - PHASE
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
❑Residential(Main)Service -
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 11101-150amps 0151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps D CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
C 100 amps ❑150amps 0200amps 0 amps OCT Service_loops
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switch": 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps - 61-100amps
Heat Circuits: # circuits r(Q kw
Number of Lighting Outlets, Including Fixtures:
OTHE44LECTRICAL PROJECTS
2Swimming Pool OSign ❑Smoke Detectors_Qty ❑Transformers KVA OMmcrs_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_vohs/amps VALUE OF WORK S
REPAIItS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change DOH to UG
❑Other:
Permit becomes void if work does not cnummoc 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. 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 my other state or local law regulation construction or the perfarromwe of
construction.
Property Owners Name Mnnl aQ_I H 1�P1 Phone Number 9701_7X01`7
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Electrical Companyt J2 �LW I - �• T,le SYc Office Phone QT 7�5 Fax a/a'
Co.Address: 0DXW
JK
rl�� City State Zip
License Holder(Point): Certification/Registration it
1�o'fariyed Signature ojlieense Holdereye,
CHO ROBERTS Before me this Lir---day of h BR 0__�_
MY COMMISSION I FF 153136
x""' axv'Rs"A"ai31,2a'a Signature of Notary Public