659 BEACH AVE - ELEC. SWIMMING POOL -41 \� CITY OF ATLANTIC BEACH
. S J 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
JF3l9r-
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-2927
Job Type: ELECTRIC ONLY
Description: ELECTRICAL - SWIMMING POOL
Estimated Value: $2,000.00
Issue Date: 12/21/2015
Expiration Date: 6/18/2016
PROPERTY ADDRESS:
Address: 659 BEACH AVE
RE Number: 170118-0000
PROPERTY OWNER:
Name: MCGURRIN, JOSEPH J
Address: 659 BEACH AVE
GENERAL CONTRACTOR INFORMATION:
Name: MOORE ELECTRICAL CONT., INC.
Address: 10526 CRAIG INDUSTRIAL DR QA JONNY DALE MOORE
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 1 5 ELEL'_Z 9 17
// Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: (o 57 a.acA &,, PERMIT#15-Pad-.204177
JEA INFORMATION REQUIRED ON ALL PERMITS € 6O AMPS .V1 ' VOLTS 1 PHASE
VALUE OF WORK clDaG• "
NEW SERVICE ❑ Overhead n Underground nl Underground up Pole
❑Residential (Main) Service
C0-100 amps 0101-150amps 0151-200amps ❑ amps #of Meters
CCommercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps CCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
C0-100 amps ❑101-150amps ❑151-200amps O amps #of Unit Meters
"'Temporary Pole O amps
SERVICE UPGRADE O amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
O100 amps O150amps 0200amps 0 amps CCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
0 OTHER ELECTRICAL PROJECTS
Swimming Pool ❑ Sign ❑Smoke Detectors_Qty OTransformers KVA :Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist) VALUE OF WORK$ /7J`O• CG
Qty VALUE
REPAIRS/NIISCELLANEOUS Panel Change ❑OH to UG
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection anb
❑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.
Property Owners Name ill,cam
' u r1-;i✓ Phone Number
Electrical Company/ fnOre eke tr:c A/ a..,7 hve Office Phone 9D'Y-qi t 7Fax 9D% ii'0
Co. Address: Po 003( Om' City d7 dc Statef/ Zip YY7/35
License Holder Print): _ _ 0 _ _- _ t1 PIP...aka State Certification/Registration# 6-e DO6/71
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