1816 Atlantic Beach Dr ERES20-0013 Elec for Swimming Pool ''','''%. ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
�
i_,
ERES20-0013
si CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD ISSUED: 1/22/2020
�a �� EXPIRES: 7/20/2020
ATLANTIC BEACH. FL 32233
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:
200 amps/240 volts/first
1816 ATLANTIC BEACH DR ELECTRICAL RESIDENTIAL phase - elec for swimming $985.00
pool
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
169505 1605 ATLANTIC BEACH
COUNTRY CLUB UNIT 02
COMPANY: ADDRESS: CITY: STATE: ZIP:
HAZOURI ELECTRIC, INC. 6142 Golden Oak Lane Keystone Heights FL 32656
OWNER: ADDRESS: CITY: STATE: ZIP:
DEFILIPPO JOHN 1816 ATLANTIC BEACH DR ATLANTIC BEACH FL 32233
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
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
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
Issued Date: 1/22/2020 1 of 2
r.- L.. ,,,,-----p.,7,
',, �, ELECTRICAL RESIDENTIAL PERMI1 PERMIT NUMBER
M Y 0 ERES20-0013
CITY OF ATLANTIC BEACH
� �' `� � s, ISSUED: 1/22/2020
�y
E 800 SEMINOLE ROAD
"'t,'; 9r ATLANTIC BEACH, FL 32233 EXPIRES: 7/20/2020
._.,_... _._M.,.v.�.�._
F
� _.�
. t_ . ,....._.TOTAL:$99.00
Issued Date: 1/22/2020 2 of 2
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach, FL 32233 L/L&s a o- (1)13
Ph(904) 247-5826 Fax (904) 247-5845
JOB ADDRESS: / /'< iivj-„n j, r /« _2 PERMIT# AX,/
/70o.3
JEA INFORMATION REQUIRED ON ALL PERMITS 70 AMPS Z /VOLTS / PHASE
VALUE OF WORK$ 1 S
NEW SERVICE ❑ Overhead ❑ Underground nJ Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
❑0-100 amps 101-150amps L1151-200amps ❑ amps ['CT Service amps
Conductor Type Size
[Multi-Family(Main)Service
[0-100 amps ❑101-150amps L1151-200amps ❑ amps #of Unit Meters
[Temporary Pole C amps
SERVICE UPGRADE H amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 200amps ❑ amps DCT 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:
OTH ELECTRICAL PROJECTS
wimming Pool ❑ Sign El 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 ❑Safety Inspection [Panel Change DOH to UG
[Other: Alit rc 40 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.
Property Owners Name Q al();//' L) Phone Number 33 yam. Z/
Electrical Company ; �, , /�1 e c /GSC Office Phoned Fax
p y i7L/e iv �lc� j YYY
Co.Address: �/VZ (I City 4 sp- State Pe Zip 3Z- f
r
License Holder(Print): A(e--.-r C _2�0 _ State Certification/Registration#,f '00a 0377
Notarized Signature of License Holder —••7
” " CHO ROBERTS Sworn and subscribed before me thi ay of J,t- 20 2
MY COMMISSION 8 FF153136
Wo, EXPIRES:August 21,2018 Signature of Notary Public