Permit 681 Atlantic Blvd CITY OF ATLANTIC BEACH
goo sEm[NOLE ROAD
ATLANnc BEAM FLORMA 32233
INSPECTION PHONE LINE 247-5826
N1- Oft I
Application Number . . . . . 03-00025445 Date 1/29/03
Property Address . . . . . . 681 ATLANTIC BLVD
Tenant nbr, name . : , , * - SAFETY
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
OCCUPANT HAZOURI ELECTRIC INC.
681 ATLANTIC BLVD. P.O. BOX 56559
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32241
(352) 473-7238
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc - -
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35. 00 .00 . 00
Plan Check Total . 00 .00 . 00 .00
Grand Total 35. 00 35. 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY 13Y EITHER CONTRACTOR Olt OWNER- -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUELDING OFFICIAL
CITY OF ATLANTIC BEACH, FLORIDA
ELECTRICAL PERMIT APPLICATION
TO THE CfUEF ELECTRICAL INSPECTOR: DATE: 20 0
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,
WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND
SPECIFICATIONS, W1-HCH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL
REGULATIONS, CODES AND CITY OF ATL NTIC BEACH ORDINANCES.
ELECTRICAL CONTRACTOR:
MASTER ELECTRICIANS SIGNATURE:--
OWNER OF PROPERTY:
S-21
JOB ADDRESS: 6/
RES.( APT.( COMM.(,)q PUBLIC( INDUS.( NEW( OLI)k� REW.(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT.
SERVICE: NEW( ) INCREASE( ) REPAIR(
CONDUCTOR SIZE AMPS: /0 COPPER( ) AL .( ) FEES
SWITCHORBREAKER 1,90 AMPS PH �W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
I 0.30AMPS -3 1.100 AMPS
SWITCHES_
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. VER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT
0-1 0 VER
MOTORS H.P. IVOLTAGE PHS NO. I H.P. VOLTAGE PHS
I
MISCELLANEOUS
TRANSFORMERS: UNDER 600V OVER 600V
NO. IKVA NO. KVA
F. NO I VA I MTOTOR SIZE SWiTCH -- FLASH—ER- S-
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ci.atlantic-beach.fl.us
Rt-.viqMf)1/17/03