1057 Beach Ave elec pool permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0065
Description: SWIMMING POOL ELECTRIC
Estimated Value: 0
Issue Date: 7/13/2017
Expiration Date: 1/9/2016
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
900 Seminole Rd,Atlantic Beach,FL 32233
:l Ph(�904)24.,7�-5926 Fax(904)247-5945 f� � [[--
JOB ADDRESS: �U�2 /�i ysf_�r�. PERMIT# C R�S 7- toJ
IEA INFORMATION REQUIRED ON ALL PERMITS AMPS VOLTS PHASE
VALUE OF WORKS
NEW SERVICE ❑ Overhead ❑ Underground D Underground up Pole
Residential(Main)Service
0-100 amps 101-150amps 151-2DOamps amps #Of Meters
Commercial(Main)Service
0-100 amps 101-150amps 151-200amps amps Cr Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150ampS 151-200arups amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE _amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
100 maps I50amps 200amps _amps Cr Service_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Oudets/Switches: 0-30amps 31-I00amps 101-200amps
Appliances: 0-30amps 31-I OOamps _101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits Qkw
Number of Lighting Outlets, Including Fixtures:
OTHER EIXCTRWAL PROTECTS
wimmingP I Sign Smoke Detectots_Qty Tamdromers KVA M06WS III)
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK f
REPAIRS/MISCELLANEOUS
Replace B�umnVDamaged Meter Can Safety Inspection Panel Change OH to UG
Permit becomes void if work does not commence within a six month period at work is suspended or abandoned for six months. I hereby certfy that I have
read this application and know the same in be tae and concert. All Provisions of laws and ordinances governing this w will be complied with whether
specifiedornot ncPwnitdoe mgiwmWu irymviolatetheprovisionsofmyodwstateorlocallawregwmonmrsswcdmordrepofo roof
construction. c/
Property Owners Name /^ Phone Number 3,3 Yfy Z
Electrical Company � 7bc ' (`—�F//cif/ C Office Phone
Co.Address: 9r z O CL (C n city state &zip�Jw
License Holder (Print): .sem State Ceitification/Regislration# tY/ D 3
Notarized Signature of License Holder
Sworn and subscribed before me this 1 f 20�
Signature of Notary Public
CHO ROBERTS
MV COMMISSION tl FF1531M
F%YIRES:AW921.2018
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