1957 Beach Ave ERES19-0279 Electric for Pool ,S' ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
',--4.!!-.7".. CITY OF ATLANTIC BEACH ERES19-0279
-'r ISSUED: 9/25/2019
800 SEMINOLE ROAD
r_:a9% ATLANTIC BEACH. FL 32233 EXPIRES: 3/23/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1957 BEACH AVE ELECTRICAL RESIDENTIAL ELECTRIC POOL $985.00
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169696 0000 NORTH ATLANTIC BCH
UNIT 2
COMPANY: ADDRESS: CITY: STATE: , ZIP:
HAZOURI ELECTRIC, INC. P 0 BOX 56559 JACKSONVILLE FL 32241
OWNER: ADDRESS: CITY: i STATE: ZIP:
VAGHEFI JUBEEN F 4401 SAN JOSE LN JACKSONVILLE FL 32207
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS IIIIMIIIBNIIIIIIIIIIIIIIIIIIPP
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
,x..
4 . � ._ FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $99.00
Issued Date: 9/25/2019 1 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax(904) 247-5845 5 R ES t 1 _ Oz ,
JOB ADDRESS:
l.c/7 �� �(/� PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 20 0 AMPS 2qo VOLTS / PHASE
VALUE OF WORK$ 7fj
NEW SERVICE ❑ Overhead El Underground nT Underground up Pole
Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
00-100 amps ❑101-15Oamps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
El 0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
El Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 200amps ❑ amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-3 Damps 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$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can CI Safety Inspection ❑Panel Change DOH to UG
❑Other: (n- �w i.-,� .• �o
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 1%4/sn 0 Phone Number Y1
Electrical Company /17. �2.,D 447/-(7,C7l l C Office Phone J I 1 V " Fax
Co. Address: &7( 61',6„ [ ( City s/ & c._ State A Zip
License Holder(Print): /,(ert_i F 4 State C ification/Registration# Ra990 3)7
Notarized Signature of License Holder •
:I CHO ROBERTS Sworn and subscribed before me th da , _Cyr- 20/7
MY COMMISSION FF153136
"k4..1.... $6 EXPIRES:August 21,2018 Signature of Notary Public