335 2ND ST ELECTRIC p, CITY OF ATLANTIC BEACH
r s) 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 15-ELEC-849
Job Type: ELECTRIC ONLY
Description: eleo pool
Estimated Value:
Issue Date: 4/14/2015
Expiration Date: 10/11/2015
PROPERTY ADDRESS:
Address: 335 2ND ST
RE Number: 169783-0000
PROPERTY OWNER:
Name: CHAVOUSTIE, STEPHEN M
Address: 335 2ND ST 335 2ND ST
GENERAL CONTRACTOR INFORMATION:
Name: DAVID PRUETTES ELECTRICAL SVC.
Address: 331 -8 P PARKRIDGE AVE QA DAVID THOMAS PRUETTE
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 BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
2 Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 3JS ( S PERMIT 4 151�—W7
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK f
NEW SERVICE ❑ Overbead ❑ Underground D Underground up Pole
Residential(Main)Service
0-100 amps L 101-150amps l 151-200amps amps #of Mew"
Commercial(Main)Service
'.0-100 amps 111101-150amps ❑151-200amps amps ECTService amps
Conductor Type Size
Multi-Family(Main)Service
_._0-100 amps ❑101-150amps ❑151-200amps amps #of Unit Meters
'.Temporary Pole Li amps
SERVICE UPGRADE u amps Ll CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 'i!150amps 0200amps ❑ amps 'ICT 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(a3 kw
Number of Lighting Outlets, Including Fixtures:
OTHE ELECTRICAL PROJECTS
FIRIwimming Pool ❑ Sign L1Smoke Detecmrs_Qty ❑Transformers KVA Motors hp
ALARM SYSTEM (Requires 3 gets of plass)
Qty_volts/amps VALUE OF WORK f
REPAIRS/MISCELLANEOUS
Replace Bumt/Damaged Meter Can ❑Safety Inspection f.',Panel Change LIOH to UG
]Other.
Permit becames 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 consaucaon or the performance of
construction. �
Property Owners Name (, /e' Phone Number
Electrical Company UiG� 9740AIP, aC4'r nn 1 SVc-' Office/�P�h�one,)) --7ca}S Faxa7a'�9 -1
Co. Address: S31 -9 *r- City Qhgft l i.L State -Zip
License Holder(Print): U� ertification/Registmtion# 2MQQ2gZ
Notarized Signature of License Holder
CHO ROBERTS Sworn and subscribed before m tthis�' nay of A N U 2015
MT COMMISSION I FFI5II36 ' -
s Nun ma 21'201e Signature of Notary Public