221 Pine St ERES19-0282 Pool Elec ,'‘. .--;- \!--' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
- \\
'fr: CITY OF ATLANTIC BEACH ERES19-0282
,v v 800 SEMINOLE ROAD ISSUED: 10/1/2019
".74_,..91 )..?/' ATLANTIC BEACH. FL 32233 EXPIRES: 3/29/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county, and there may be additional permits required from other
governmental entities such as water management districts,state agencies, or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
221 PINE ST ELECTRICAL RESIDENTIAL POOL ELECTRIC $600.00
TYPE OF 1 REAL ESTATE BUILDING USE
:._CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
170564 0000 SALTAIR SEC 03
" COMPANY: ADDRESS: CITY: STATE: ZIP:
DAVID PRUETTES
ELECTRICAL SVC. 331 -8 PARKRIDGE AVE ORANGE PARK FL 32065
OWNER: I ADDRESS: CITY: STATE: ZIP:
FAUL MICHAEL ET AL 221 PINE ST JACKSONVILLE FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 10/1/2019 1 of 2
S1''k'r, ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
6S ERES19-0282
iii
o CITY OF ATLANTIC BEACH
oto �~ 800 SEMINOLE ROAD ISSUED: 10/1/2019
-`'i3 �� ATLANTIC BEACH. FL 32233 EXPIRES: 3/29/2020
Issued Date: 10/1/2019 2 of 2
03-k\6 E R cst ci - (Dz_23
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.s=`,,,, Electrica.n Permit Application -,ALL INFORMATION
iii-fid of Atlantic tach Building Department AY IS HIGHLIGHTED IN
rrGRAY IS REQUIRED.
300 Seminole Ru, ,Atlantic Beach, FL 32233
4 ,000?`` tzfr Phone: 904 247-5826 Entail: W
ici r.{:'u CI)
�' i -�eNt(�caab..�sPERMIT � � ��-- g
JOB ADDRESS: 1 nQ- -' PROJECT VALUE$ ( Q 00.QQ
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS _VOLTS_ PHASE
NEW SERVICE: 0 Overhead OUnderground DUnderground up Pole
C Residential (Main)Service:
❑0-100 amps J101-150amps L151-200amps li amps #of Meters
'JComrnercial (Main)Service:
o-100 amps L.1101.-150amps 0151-200amps 0
amps
Conductor Type Size p Service amps
7Multi-Family(Main)Service:
ra-100 amps D101-150amps ?151-200amps Li amps #of Unit Meters
L___TEMPORARY POLE: amps
H SERVICE UPGRADE:I._; amps DCT Service amps
i NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E100 amps 0150amps ?200amps 0 amps DCT Service _amps
f—
L__ 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: 0-60a!mos 61-100amps
Heat Circuits: # circuits @ kw
��]-C/�11 Number of Lighting Outlets, Including Fixtures:
Xi°'Ti ER ELECTRICAL RICAL PROJECTS:
wimming Pool®Sign OSmoke Detectors^ (Qty) [j'ransformers KVA OMotors _HP
71 FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can DSafety inspection L,_;=an=J Change DON to UG
then ------ _._ Updated 10/17/18
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.
Owner Nan: i11,1
_ Phone Number:
Electrical Company:114 it r € e ,<SVC. Office Phone: QCi..N- 1 a` f dv5___ eta= -LO O
��Q (�,.,,- Fax:___
Cc.Address .L� CLtI KRC 'e. fV• .. Ci • I•" r F
(}�. �'� - State:PL. Zip:
License HolderTb Vld [` t _ // State Certification/Registration It: EC(X) C _3 _
1
Notarized Signature a ircense Holder 1111 �j�J.f
�7
.,
.'.c foregoing instrument was acknowledged before me this, day of Set .:14 err
�, ir.the State of Florida,County of C L
;�J. .. CHO ROBERTS Signature of Notary Public ��
e° -\- '; Notary Public-State of Florida
:A: ,i Commission tr GG 211925
`?c@ l f Identification:Known OR i I Produced Identification
rrti4•'' My Comm.Expires Aug 21,2022 _
Bonded through National Notary Assn. yp?of Identification: ___ `
Js ri1v�`JfJr
s� Cash Register Receipt Receipt Number
City of Atlantic Beach R10570
DESCRIPTION I ACCOUNT QTY PAID
PermitTRAK $99.00
ERES19-0282 Address: 221 PINE ST APN: 170564 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 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL FEES PAID BY RECEIPT: R10570 $99.00
Date Paid:Tuesday, October 01, 2019
Paid By: DAVID PRUETTES ELECTRICAL SVC.
Cashier: LE
Pay Method: CREDIT CARD 1
Printed:Tuesday,October 01,2019 10:46 AM 1 of 1
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