320 10th St ERES20-0037 Pool Elec •')so ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES20-0037
�� �" ISSUED: 2/12/2020
,� 800 SEMINOLE ROAD EXPIRES: 8/10/2020
ATLANTIC BEACH. FL 32233
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:
320 10TH ST ELECTRICAL RESIDENTIAL POOL ELECTRIC $1500.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
170032 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
MOORE ELECTRICAL 10526 CRAIG INDUSTRIAL DRIVE JACKSONVILLE FL 32225
CONTRACTORS, INC.
OWNER: ADDRESS: CITY: STATE: ZIP:
BRECHBILL ALAN L 479 ENGLISH IVY CT HUMMELSTOWN PA 17036
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:$99.00
Issued Date:2/12/2020 1 of 2
e.„ ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
err ERES20-0037
CITY OF ATLANTIC BEACH ISSUED: 2/12/2020
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 8/10/2020
Issued Date: 2/12/2020 2 of 2
ELECTRICAL PERMIT APPLICATION eRc w_0Zo . cx)3 r
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
h(904) 247-5826 Fax (904) 247-5845 leo/
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Pee.:!---
Qe PERMIT#/ —QOJ(�
JOB ADDRESS:320 1C� �N
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground nl Underground up Pole
❑Residential (Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps 0101-150amps 0151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 0200amps ❑ amps ECT 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:
OTHER ELECTRICAL PROJECTS
;Swimming Pool ❑ Sign ❑Smoke Detectors Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$ /5.--‘...c/�7 ..
./
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH 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. J /
Property Owners Name$eL4e,,d e(e�f - 13 GL Ji I 1 Phone Number al5 G?n ( 7171C 60'7
Electrical Company Ave gtclf4Ga lib leo- M C- Office Phone %V4 cfs-6n1 Fax0;96yYh
Co. Address: A 39( 356671 City j&c(Csc.J✓. liC Stated Zip SZ23S
License Holder (Print): JO..SorJ Awe-LBS State Certification/Registration#tC/SODA,33
Signature ofLicense Holder ai i
Notarizeda �C
,..„. ;;'.' DEBowwERUNG 1 Swo •d subscribed befor me this / day of 1 2�
MY COMMISSION 9 GG 358196 �% W
�.—�.�A• �I�g;���IT,2073 f Signature of Notary Public
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•.°' Bonded Rini Notary Public Undenvdere 1