299 Atlantic Blvd #207 elec permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ELPP18-0004
Description: UNIT 207 -REPLACE DISCONNECTS ON 4 RTU, 13 COND
Estimated Value: 0
Issue Date: 2/5/2018
Expiration Date: 8/4/2018
PROPERTY ADDRESS:
Address: 299 ATLANTIC BLVD
RE Number: 172531 0000
PROPERTY OWNER:
Name: SOUTHCOAST CAPITAL PRTNSHIP LTD
Address: 1600 INDEPENDENT SQ
JACKSONVILLE, FL 32202-5018
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TITAN ELECTRIC GROUP, INC.
Address: 2730 -7 CL CLYDO RD QA CHARLES WILLIAM BELINGHOFF
JACKSONVILLE, FL 32207
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$7,500.
v �PELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
l/ 800 Seminole Rd,Atlantic Beach,FL 32233
kit Ph 904)247-5826 Fax (904)247-5845 C(���� g _00 014
JOB ADDIM,MI. PERMIT fi.
JEA INFORMATION REQUIRED ON ALL PERMITS __AMPS AOLTS PHASE
VALUE OF WORK 0Ov°
00
NEW SERVICE ❑ Overhead L] Underground ❑1 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0151-200amps ❑ _amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps U 151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole 0 amps
SERVICE UPGRADE 0 amps ❑ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps ❑200amps ❑ amps ❑CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps ___101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty OTransformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRSIMISCELLANEOUS
❑Replace Bumt//Dammagedd Meter Can
,,��y.❑Safety Inspection ❑Panel Change DOH to UG ai
4thery4yWcY WAA1 <<j' nave, K�
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. OVet �AOL tq� �vQyQV�
0Property Owners NameV �0�� Phone Numbe V
Electrical Company l 1a(I t TAO�- -c--Tt?K ?oo'p� 7.{C Office Phon `l'd1 06 7(, Fax goy .3b702Z
Co.Address:3 1 11ir Lo QLC— i, City-.S la('r,o NViLi State Q_._Zip L 2�
License Holder(Print): t e-5 Ll i tvG = Statert'rt Registration# be"
Notarized Signature of License Holder 9
Demise A.Emis Sworn and subscribed before me f is day of r t..ir 201�
NOTARY PUBLIC Signature of Notary Public
STATE OF FLORIDA
Cuff"FF9W428
Fires 3/1/2020
Cash Register
Receipt. • •
J of
BeachR4143
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $94.00
ELPP18-0004 Address: 299 ATLANTIC BLVD APN: 172531 0000 $94.00
ELECTRICAL $90.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTAL . , , $94.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
02/05/2018 1527:33
CREDIT CARD
VISA SALE
CARD# XXXXXXXXXXXX6507
:INVOICE 0005
SEQ#: 0005
Batch#: 000729
Approval Code: 126104
Enty Method: Manual
Lode: Online
Tax Amount: �0 00
Card Code; M
SALE AMOUNT
CUSTOMER(OPY
Date Paid: Monday, February 05, 2018
Paid By:TITAN ELECTRIC GROUP, INC.
Cashier: CB
Pay Method: CREDIT CARD 126104
0%
Printed: Monday, February 05,2018 3:31 PM 1 of 1 t
TRAIGt