381 SEMINOLE RD - POOL ELECTRIC . S I.:Lyr
c IA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
;3 p.): INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0014
Description: POOL ELECTRIC
Estimated Value: 0
Issue Date: 5/10/2017
Expiration Date: 11/6/2017
PROPERTY ADDRESS:
Address: 381 SEMINOLE RD
RE Number: 170433 0000
PROPERTY OWNER:
Name: BURGOS DANIEL R
Address: 381 SEMINOLE RD
ATLANTIC BEACH, FL 32233-4144
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTE
Address: 331-8 PARKRIDGE AVE
ORANGE PARK, FL32065
Phone:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE
ORANGE PARK, FL 32065
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
0
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ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax (904)247-5845 RE 1'7 - DO 14
JOB ADDRESS: 33I &OnnotQ, 8
PERMIT# n/ j-37so
JEA INFORMATION REQUIRED ON ALL PERMITS
AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE D Overhead
OResidential ❑ Underground (�T Underground up Pole
(Main) Service
00-100 amps ❑101-150amps ❑151-200amp s 0 amps
DCommercial(Main)Service P #of Meters
00-100 amps 0101-150amps O 151-200amps O am s
Conductor Type Size P OCT Service amps
OMulti-Family(Main)Service
00-100 amps ❑101-150amps O 151-200amps 0 amps #of Unit Meters
OTemporary Pole 0 amps
SERVICE UPGRADE
❑ amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 amps D 150amps 0200amps 0 amps OCT Service
amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 31-100am s
Appliances: 0-30am s p _._,.101-200amps
A/C Circuits: 0-60amps 31-100amps 101-200amps
p 61-100amps
Heat Circuits:
# circuits @ kw
Number of Lighting Outlets, Including Fixtures:_
DTHEELECTRICAL PROJECTS
Swimming Pool C Sign [1 Smoke Detectors Qty El
KVA OMotors hp
ii FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
tEPAIRS/MISCELLANEOUS
OReplace Burnt/Damaged Meter Can LI Safety Inspection [Wane! Change OOH to UG
❑Other:
ennit 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
ad 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
)ecified 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
instruction.
'
roperty Owners Name /
I. I i a ' Phone Number
lectrical Company)V "riie7P ' Eifeehad SYC. Office Phone 0779.-7?5S Fax a-7
299
o.Address: 3' I - d Pa, C?1rsjc/1 sty States Zip D' �:cense Holder riot�d 1 ��,.,�
A. ,-- ,?�, State Certification/Registration# L��'u.(-tom
otarized Signature of License Holder ,,�
IA,""'"" CHO ROBERTSBefore me this �-% day of M 20 �jMY COMMISSION M1.1-215311836
�i EXPIRES:August 21, 0Signature of Notary Public LAA �A
1