1781 ATLANTIC BEACH DR - POOL ELECTRIC .6s JO" v s CITY OF ATLANTIC BEACH
, ': 800 SEMINOLE ROAD
,� V~ ATLANTIC BEACH, FL 32233
'%o �%' INSPECTION PHONE LINE 247-5814
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ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0116
Description: ELECTRIC SWIMMING POOL
Estimated Value: 0
Issue Date: 8/30/2017
Expiration Date: 2/26/2018
PROPERTY ADDRESS:
Address: 1781 ATLANTIC BEACH DR
RE Number: 169505 1485
PROPERTY OWNER:
Name: RIVERSIDE HOMES OF NORTH FLORIDA INC
Address: 414 OLD HARD RD STE 502
FLEMING ISLAND, FL 32003
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
_ 800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 E REZ I7- 011 Co
JOB ADDRESS: 1 riCSI F M .bect6 1)( PERMIT#
•
.TEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑T Underground up Pole
0Residential (Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
DCommercial(Main) Service
00-100 amps 0101-150amps ❑151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps n 1.51-200amps 0 amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Oamps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHEECTRICAL PROJECTS
wimming Pool 0 Sign 0 Smoke Detectors Qty 0 Transformers KVA LiMotors hp
•
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can L1 Safety Inspection LIPanel Change 00H to UG
❑Other:
Permit 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
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 any other state or local law regulation construction or the performance of
construction. R'' u
Property Owners Name �TA( m P C N U PG Phone Number
Electrical Compan tlil �G 1 e s -Cecina/ 6/C /I•Office Phone- / Fax &77d'1
-.
p. City aizr'ç. RzrR. State ZipCo. Address:331 0PtZVRYid# ' _ i ��^
License Holder(Print): ,/. 4 0, a`M7L° - .: a ertification/Registration#�(� �[,G(l( D�3
Notarized Signature of License Holder /
Before me this �Z day of ��r 20 _CHO ROBERTS
MY COMMISSION#FF153136
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, 3 EXPIRES:August 21,2018 Signature of Notary Public
CA - Aiii.
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