370 SARGO RD - ELECTRIC POOL S fl CITY OF ATLANTIC BEACH
6 " v? 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: ERES18-0038
Description: 200 amps/240 volts/single-phase-elec for pool
Estimated Value: 900
Issue Date: 2/12/2018
Expiration Date: 8/11/2018
PROPERTY ADDRESS:
Address: 370 SARGO RD
RE Number: 171689 0000
PROPERTY OWNER:
Name: Julie Hartline
Address: 370 Sargo Road
Atlantic Beach, FL 32233
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.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH -EP & S / ic —00 3 c-
800 Seminole Rd,Atlantic Beach,FL 32233
)' � Ph(904) 247-5826 Fax(904)247-5845 o t_
JOB ADDRESS: ,r1��! -�'�i4 3"/C� 517 rC o /t-J /
PERMIT# rl a.k)
JEA INFORMATION REQUIRED ON ALL PERMITS 20 0 AMPS Z'(3 VOLTS / PHASE
/,
VALUE OF WORK$ go 0
NEW SERVICE ❑ Overhead ❑ Underground Eli Underground up Pole
❑Residential(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT 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 0200amps ❑ 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 61-100amps
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$
REPAIRSMISCELLANEOUS
❑Replace BurnVDamaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG
❑Other: 0 I r AO
iMIMIIIMIIMM
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.
Property Owners Name d 42l f Ct L Phone Number ,3 3 y-,SrY Li
� r `(4 `tElectrical Company 1 Zac..�. ����X<r YC Office Phone Yv�=
/-Fax
Co.Address: O l- I 6 v 40 6-1- c)/1---(C C ---
City State Zip
License Holder (Print): �Q�ti L ,'C.11—.: State Certification/Registration# F(, 03
77
Notarized Si;nature o Li • • ..older
P` CHO ROBERTS
MY COMMISSION a E 153136 Before me this day of rev 20
°�„�o. EXPIRES:August 21,2018 A n
Signature of Notary Public
C.-VA
.,