Permit 645-2 Mayport Rd elec safety 2011 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
Application Number . . . . . 11-00002356 Date 7/18/11
Property Address . . . . . . 645 MAYPORT RD UNIT 2B
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
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Application desc
SAFETY INSPECTION
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Owner Contractor
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HAZOURI ELECTRIC, INC.
P.O. BOX 56559
JACKSONVILLE FL 32241
(904) 219-8809
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Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 90 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 1/14/12
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Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00
STATE ELEC DBPR SURCHARGE 2 . 00
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Other Fee Total 4 . 00 4 . 00 . 00 . 00
Grand Total 94 . 00 94 . 00 . 00 . 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
Ph(904) 247-5826 Fax (904) 247-5845 PERMIT#
JOB ADDRESS: CI 5- y po
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE [O-Overhead El Underground Underground up Pole
EIResidential(Main) Service
E-0-100 amps El 101-150amps El 151-200amps amps #of Meters
El Commercial(Main)Service
110-100 amps E101-150amps IJ51-200amps El amps ECT Service amps
Conductor Type Size
E]Multi-Family(Main)Service
EO-100 amps 1110 1-I 50amps 11 151-200amps El amps 4 of Unit Meters
[]Temporary Pole El_amps
SERVICE UPGRADE amps 11 CT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1100amps E1150amps E200amps El—amps FICT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 3 1-1 00amps 101-200amps
A/C Circuits: 0-60amps 61-I 00amps
Heat Circuits- # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
[]Swimming Pool El Sign E Smoke Detectors_Qty El Transformers KVA El Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans&Fire Alarm Checklist)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
[]Replace Burnt/Damaged Meter Can C_�S�ty Inspection 11 Panel Change 11 OH to UG
110the : JJ4�", c-0 a
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 tile performance of
construction.
Property Owners Name Vi-J_ e6 Phone Number ls�
Electrical Company /A (IJ, K? C � Office Phone �c:i ;�7 Fax
Co.Address: Vo 1.'), e/1 1- 1�1 320-g-L-City
olic State r1l(- Zip
License Holder(Print): JZ o 6 ZIA -L �17 S. ate Certification/Registration# K 0 0 0
Notarized Signature of License Holder
S,
Sw m and sub ciibed before S of 20//
DEBOPAKAMANDAWH)-j�___
My COMMISSION 9 EE 057349 S nature of Notary Public
EXPIRES;May 21,2015
ad Thru Notary Public Underwritsr,,,,
Bond