335 10TH ST - ELECTRIC POOL 10PCITY 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: ERES17-0141
Description: electrical service for swimming pool
Estimated Value: 985
Issue Date: 9/28/2017
Expiration Date: 3/27/2018
PROPERTY ADDRESS:
Address: 335 10TH ST
RE Number: 170075 0000
PROPERTY OWNER:
Name: AF AB VENTURE LLC
Address: 800-C THIRD ST
NEPTUNE BEACH, FL 32266
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: HAZOURI ELECTRIC, INC.
Address: P 0 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$7,500.
I
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904)247-5845 e S (/ — 0N1
JOB ADDRESS: 35-5r----- /D/g Sj�e-c--, — PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS ZOO AMPS 1 YO VOLTS ( PHASE
VALUE OF WORK$ /y:
NEW SERVICE ❑ Overhead n Underground Fp"Underground up Pole
❑Residential(Main) Service
[10-100 amps ❑101-150amps 0151-200amps C: amps #of Meters
CI Commercial(Main) Service
00-100 amps 0101-150amps [1151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps L7101-150amps ❑151-200amps 0 amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0150amps ❑200amps 0 amps OCT 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-I00amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign 0 Smoke Detectors_Qty 0 Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can ❑Safety Inspection
❑Panel Change 0 O to UG
❑Other: 6.....)i c Scc.--,, 77,---..) �o C
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. /GC
Property Owners Name A.),.., ke:2S--7/-Z 791P/7/3 Phone Number _.<- y-f-yY/
Electrical Company /2-X11"9/7. iICC i.0 ec / (( Office Phone.....-4-7A3 y y v- Fax
Co. Address: lc/ye. 6, 6c,�-C City /' _c"7A_, State Zip S?�"
License Holder (Print): ': — A. a„, . State Cert' ification/Registration# 440 j,3 77
Notarized Si:nature o License Holder�c�7�
A�/ CH()ROBERTS Before me this \VI' day of feA120 20
�� MY COMMISSION 9 FF153136
:'.";•411114, EXPIRES:August 21,2018 /�, /)
Signature of Notary Public 1\/<//�� —