370 PLAZA - ELECTRIC �" ' T, CITY OF ATLANTIC BEACH
:h . ,. 800 SEMINOLE ROAD
J _". 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: 16-ELEC-2018
Job Type: ELECTRIC ONLY
Description: electrical for swimming pool
Estimated Value:
Issue Date: 9/8/2016
Expiration Date: 3/7/2017
PROPERTY ADDRESS:
Address: 370 Plaza
RE Number: 169976-0000
PROPERTY OWNER:
Name: MCDONALD, MARY E & HUNT JOSEPH, *
Address: 370 PLAZA
GENERAL CONTRACTOR INFORMATION:
Name: HAZOURI ELECTRIC, INC.
, EC0000379
Address: P 0 BOX 56559 QA ROBERT HAZOURI
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: $99.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 I b—U-e---- aotc3
JOB ADDRESS:ii131_e_LLI_Z— ( PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ? OD AMPS ak(7 VOLTS I /D PHASE
VALUE OF WORK$
NEW SERVICE El Overhead I ] Underground DJ Underground up Pole
['Residential(Main)Service
00-100 amps ❑101-150amps 0151-200amps 0 amps #of Meters
0 Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
0Multi-Family(Main)Service
00-100 amps 0101-150amps ❑151-200amps 0 amps #of Unit Meters
0 Temporary Pole 0 amps
SERVICE UPGRADE 0 amps 0 CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Dama ed Meter Can ❑Safety Inspection ❑Panel Change OOH to UG
0Other: 0c0
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. Clroperty Owners Name Y V l C ')t e� / Phone Number c/ (/3 q
Electrical Company 0 0, ZO Ju'.,. (C ( C Office Phone ��/ Y YYFax
a `� (l 4 city S /- 6� u j State( ' Zip 3 2-6 9°
Co.Address: � 7` f�•
License Holder(Print): Q. 0 2 v ts if 6 z ° U (1 S a Certification/Registration# Z.,---6 006' ° 7?
Notarized Si., , , • 4.......:=-. - - .„..„1-‘ ( 6' �- (rI (/
a'`k"t.•= MY COMMISSION i FF 924951, ` r 1 `.L��
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�= EXPIRES:October U 201 rersNM
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4•••_ y afore of Notary Publics