1182 E Linkside Ct elec pool permitCITY OF ATLANTIC BEACH
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:
17-ELEC-3237
Job Type:
ELECTRIC ONLY
Description:
pool wire
Estimated Value:
Issue Date:
2/13/2017
Expiration Date:
8/12/2017
PROPERTY ADDRESS:
Address:
1182 E LINKSIDE CT
RE Number:
172374-5135
PROPERTY OWNER:
Name:
SHERMAN, ANGELA
Address:
1182 E LINKSIDE CT
GENERAL CONTRACTOR INFORMATION:
Name:
HAZOURI ELECTRIC, INC.
Robert E. Hazouri, Sr., EC0000379
Address:
P O BOX 56559 CA ROBERT HAZOURI
rnone:
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
PERMU IS APPROVED ONLY IN ACCORDANCE WITH ALL CFFY 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)247-5826IFax (904)247-5845
JOB ADDRESS: I 1 a [- it 1 < S ; tJ L G -t- PERMIT #
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK $
NEW SERVICE ❑ Overhead
❑Residential (Main) Service
110-100 amps D101-150amps
❑Commercial (Main) Service
110-100amps 0101-150amps
Conductor Type
[]Multi -Family (Main) Service
00-100 amps ❑ 101-150amps
❑Temporary Pole ❑ amps
❑ Underground ❑f Underground up Pole
❑ 151-200amps
❑ 151-200amps
Size
❑ 151-200amps
❑ amps
❑ amps
❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps ❑200amps ❑ amps OCT Service
# of Meters
OCT Service amps
# of Unit Meters
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 EVA ❑Motom_hp
FIRE ALARM SYSTEM (Requires 3 sets of plans) b SiJ v
Qty volts/amps VALUE OF WORK $
❑Replace Bun t/Damaged Meter Can ❑ Safety Inspection ❑ Panel Change ❑OH to UG
❑ Other: P o l9 ( IN i
Permil 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
constmotion. I
Property Owners Name\ hyl) l6-- h (VYLQ A.4 Phone Number � .o —3 (ki y
Electrical Company Cil- Z 4 -9 V"' % L l r a, f ` Office Phone `— Fax
Co. Address: 03 � � - City &E ✓ State a Zip
License Holder (Print): Stat r[ifica6on/Kegistmtion# i( dOQO 37 /
Notarized Sint older =t.
a3 day of (a 20CaG pr29a1Before methis tkr2T,2020
rmrcumv«u.. Signature of Notary Public _