392 11th pool electrical permit n+ CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0104
Description: ELECTRIC FOR POOL
Estimated Value: 0
Issue Date:
Expiration Date:
PROPERTY ADDRESS:
Address: 392 11TH ST
RE Number: 170094 0010
PROPERTY OWNER:
Name: BRIMBLECOM DUSTIN H
Address: 39211TH ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE CIA 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800-Seminok Rd,Atlantic Beach, FL 32233
rVy Ph(904)247-5826 Fax (904)247-5845 C Res(7-
b i o4
JOB ADDRESS: � 9 Q/,I��Q���"'�'�'1► PERMIT#n-ffd- -n!
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground Underground up Pole
❑Resideatial(Main)Service
00-100 amps 0101-150amps 0151-200mnps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps OCT service
Conductor Type Size amps
OMulti-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service_amps
NEW FEEDER(ADDMONS,ACCESSORY STRUCTURES,ETC.)
0100amps ❑150amps ❑200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-101
Appliances: 0-30amps 31-31101-101
A/C Circuits: 0-60ampa 61-IOOamps
Heat Circuits: # circuits Q kw
Num``ber of Lighting Outlets, Including Fixtures:
DTE0Z4,ELECTRICAL PROJECTS
ESwimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors_hp
?IRE ALARM SYSTEM (Requires 3 sets of plans)
Qty_volts/amps VALUE OF WORKS
tEPAIRS/14IISCELLANEOUS
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other.
emit becomes void if work does not commonce within a six Moab period or work is anpended or abandoned for six months. 1 hereby certify that I have
ad this application and know the same to be true and comet. 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 my ober state or local law reguladon consWction or the pefformmoe of
mstrucdon. n
ropeny Owners Nae. p. 5n _ Phone Number
lectrical Company
Office Phone Q?79-75J Fax 9
o.Address: - 0 City ylry �/y State C, Zip QS
cense Holder(Print): �Certifi' ca�tioo—n/Re�gistration#
otariyed Signature gfLicense Holder
eforeme this day of 20
CHO ROBERTS n
MY[UMMISSIONi FF153 U6 ignatureofNotaryPublic 1
EXPIRES:Augu%31,Nlla