470 Orchid St - Pool Electric 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
308 INFORMATION:
Job ID: 17-ELEC-3450
Job Type: ELECTRIC ONLY
Description: Swimming Pool Electric
Estimated Value:
Issue Date: 3/9/2017
Expiration Date: 9/5/2017
PROPERTY ADDRESS:
Address: 470 ORCHID ST
RE Number: 170869-0020
PROPERTY OWNER:
Name: RODRIGUEZ, ANNIE & EDUARDO J, '
Address: 470 ORCHID ST
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
David Thomas Pruette,E00002923
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 W ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMTr APPLICATION
CITY OF ATLANTIC BEACff,
800.Seminole Rd, Atlantic Beach,FL 32233
�(,e'1 Ph(904) 247-5826 Fax(904)247-5845
JOBADDRESS: r `O OmKi a & PERmu
SEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE.
VALUE OF WORK S
NEW SERVICE ❑ Overhead ❑ Underground E3 Underground up Pok
❑Residential(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Meters_
OCommercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT Service_amps
Conductor Type Size
OMulti-Family(Main)Service
00-100 amps ❑101-150amps 0151-200amps ❑ amps #of Unit Meters_
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑_amps ❑ CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps OCT Service_amps
ADDITIONS,REMODELS,REPAIRS,BUIIA-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Savitches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amp3 61-100amps
Heat Circuits: # circuits Q kw
Number of Lighting Outlets, Including Fixtures:
OTIIEryr.LECTRICAL PROJECTS
cSwimming Pool [] Sign ❑Smc&e Detectors_Qty ❑Transformers KVA OMotors_hp
FIRE ALARM SYSTEM (Requires 3 sets of plana)
Qty_volts/amps VALUE OF WORKS
REPAU SVIISCELLANEOUS
❑Replace Burrit/Damaged Meter Can OSafety Inspection ❑Panel Change DOH to UG
❑Other:
Permit becomes void if work docs not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have
read this applicnfion and know the same to be true arid COrrWL All provisions of laws end 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 lew regumbon constrvUion or the perfortmoce of
consmrction.
Property Owners Name �//ad t-1' ' Phone Number
Electrical Comppa�ny�.///)pm /P�1E_P.IS ilC(�YlC//1 Sm. Office Phone e�'7o-7R5 FFFim �a_
Co.Address: 3 t'_ 0�` arx City� Statep vpZ�ip .�a
WC
License Holder(Print): Wcerttheation/Registration#S
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^ .
IWArized Signature JZieense Holder IP
. R?BSRTs Before me this�day of 20
n^ oxarrnnus
.,,tea n.mie Signature ofNolary Public