645 OCEAN BLVD - POOL ELECTRIC 4,...„,..4.,
e ' , CITY OF ATLANTIC BEACH
a= -
r r -`;` j 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
"--0.a pY INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0068
Description: SWIMMING POOL ELECTRIC
Estimated Value: 0
Issue Date: 7/13/2017
Expiration Date: 1/9/2018
PROPERTY ADDRESS:
Address: 645 OCEAN BLVD
RE Number: 170126 0000
PROPERTY OWNER:
Name: INDRIOLO JOSEPH
Address: 645 OCEAN BLVD
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
,
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$7,500.
0
111
0
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 E. 1 E.,� ` 7._U G (8
JOB ADDRESS: 4 Co 45 Oct.ho '1�1.VD PERMIT# f -QQ
A-rt,. etei.j PL 322 33 0�
JEA .INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS
PHASE
VALUE OF WORK,$ 560 . °;-'
NEW SERVICE I I Overhead I I Underground
❑Residential (Main) Service g Underground up Pole
00-100 amps ❑101-150amps ❑151-200am s
i ❑Commercial (Main) Service p amps #of Meters
C10-100 amps ❑101-150amps ❑ J 151-200am s r
amps OCTService amps
Conductor Type Size p
E.:Multi-Family(Main)Service
4
i 00-100 amps
CTemporaay.Pole ❑ ❑101 l 50amps
amps n 151-200amps ❑ amps #of Unit Meters _
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
=100 amps ❑150amps ❑200amps ❑ amps OCT Service amps 0 -EL; 1_,v`t: ,
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC. <
Outlets/Switches: 0-3 Damps s 31-100am
Appliances: 0-30am p 101-200amps JUL
s 3 2017
A/C Circuits: 0-60amps 31 I Oamps 101 200amps
p 61-100amps
Heat Circuits:
# circuits @ kw
Number of Lighting Outlets, Including Fixtures:
DTHERLECTRICAL PROJECTS
Swimming Pool I: Sign ri Smoke Detectors Qty 71Transformers
KVA OMotors hp
+IRE ALARM SYSTEM (Requires 3 sets of plans)
Qt volts/amps VALUE OF WORK s
tEPA]RS/l MIS CELLANE OUS
iReplace Burnt/Damaged Meter Can Li Safety Inspection (Panel Change ❑OH to UG
Ot;-1cr:
ermit 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
lecified 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
>nstruction.
roperty Owners Name (` >, 01—4Z$
�� Phone Number-�7Gil - (p\ 2 2-
lectrical Company •P�
ru ' 7t't art//6YC• Office Phone (.t !02" !�-7S Fax 37a'"7
0. Address: 33 1 : d Parioidsehike. City£'hijt .
Stated: Zip ia065
-
:cense Holder(Print)< �il0 pn, / e` rtification/Registration# 5C i:0,2
993
otarized Signature of License Holder F,
efore me this tO — day of A 20 k.
O�,j�Y OV\ Cl-l0 ROBERTS
g : MY COMMISSION X FE15313G ,.ignature of Notary Public V( AA..i2Y
?,.k a�/ EXPIRES:August 21.2018
CHo � c pRvE I�LLE�:rkfce_ . [UE T
1% 1 i,.
Cash Register Receipt Receipt Number
1 City of Atlantic Beach R1987
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $99.00
ERES17-0068 Address: 645 OCEAN BLVD APN: 170126 0000 $99.00
ELECTRICAL $95.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL FEES PAID BY RECEIPT: R1987 $99.00
Date Paid:Thursday, July 13, 2017
Paid By: DAVID PRUETTES ELECTRICAL SVC.
Cashier: CT
Pay Method: CREDIT CARD 030839
00.144
Printed:Thursday,July 13,2017 2:10 PM 1 of 1 !_
TRARiT