1057 BEACH ELEC FOR POOL 2017 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL-
MUST CALL BY 41PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0029
Description: electrical for swimming pool
Estimated Value: 0
Issue Date: 5/30/2017
Expiration Date: 11/26/2017
PROPERTY ADDRESS:
Address: 1057 BEACH AVE
RE Number: 170266 0000
PROPERTY OWNER:
Name: LOFF HOWARD J
Address: 1057 BEACH AVE
ATLANTIC BEACH, FL 32233-5753
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAZOURI ELECTRIC, INC.
Address: P O BOX 56559 P.O. BOX 56559
JACKSONVILLE, FL 32241
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500.For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS:_I� )� / V�{G C k ,.Cf- ,a L PERMTT#
JEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 11101-150amps 11151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100amps 0101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type size —
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service—amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT 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 @ 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$
REPAHtS/AGSCELLANEOUS
OReplace Burnt/Damaged Meter Can []Safety Inspection ❑Panel Change DOH to UG
❑Other: t✓>teI
Permit becomes void if work does not commence within a sur 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 Nis work will hecomplied with whether
specified or not. Ile permit does not give authority to violate the provisions of any other state or local law regulation constmcdon or the performance of
construction. /'//
Property Owners Name 1^/ 4""/ 6 /—(L Phone Number 3 Y Y Y
Electrical Company ��OrZ O V ✓" Office Phone -('4� Fax
Co. Address: City �- fila State F�CZip 2 e J"v
License Holder(Print): a ,. eA C -.10, Stat ertification/Registrafion# f( Aa0O3N
N=re Ider
i Jaazsa* efore me this day of Ma-� 20
n cwv<una.wra.a ignature of Notary Public
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