299 Atlantic Boulevard ELECTRIC J il ,,, if
S 7 t I '
ii- CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
J11 z.
ATLANTIC BEACH,FL 32233
olt 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 JOB COPY
_0 PY
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$7,500.
.
ELECTRICAL PERMIT APPLICATION
v P IP
CITY OF ATLANTIC BEACH
'� 800 Seminole Rd,Atlantic Beach,FL 32233
Ph 904)247-5826 Fax (904) 247-5845 CL?P 8 --c c c.4
JOB ADDRESS: 1,1;q1 h10,0411IC PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 100 _AMPS 1 0VOLTS a PHASE
VALUE OF WORK$,Z%ZOO 6 W
NEW SERVICE I Overhead ❑ Underground F11 Underground up Pole
❑Residential(Main)Service
00-100 amps 0101-150amps 0 151-200amps 0 amps #of Meters
El Commercial(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
00-100 amps []101-150amps 11151-200amps 0_ amps #of Unit Meters
[1Temporary Pole Li__ _amps _'
SERVICE UPGRADE 0 amps ❑ CI'Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps 0150amps 0200amps 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 61-100amps
Heat Circuits: # circuits @ kw w
Number of Lighting Outlets, Including Fixtures: !�
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign (i Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑/Replace Bupmt/Damagedd Meter/ Can 00 Safety Inspectionp� �., 0Panel Change DOH to UG 1111
110ther l V OVA 6 O \A �'`r j {�jC t� f j IJ V. Y f'�tiCS
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. S ��[j�,(� (� *OfProperty Owners Name 3O�I �1 C.Of ' V1?'T Phone Number( 0 ) A6.
Electrical Company ti i-1C-. 1 t I-4,0 ,LL'cK:
:11,D .�<;�(t`Cc t -4 C-)..7_t Office Phon(Q1,01\3L'r c'‘1(.. Faxeio'i)3G 1'-o 5 .4-
Co.Address: flet LOL>-L'L= S'T, CitySPC t5oNoicc...6.-- State )1. t'..-Zip i22.S1
License Holder (Print):C L{�0.Lc�'S W, exl—a?l.l NG State
,Cert� t" Registration# ov 2�L
Notarized Signature of License Holder K�
- ,,e .r— )Y
Sworn and subscribed before me t is day
of r-ti cW- 201 el
Denies A.Emil
t NOTARY PUBLIC Signature of Notary Public CC
STATE OF FLORIDA
`'-',- Cann FF906428
Expires 3/1/2020
•
Cash Register Receipt Receipt Number
City of Atlantic Beach R4143
DESCRIPTION I ACCOUNT QTY I 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 FEES PAID BY RECEIPT: R4143 $94.00
CITY OF ATLANTIC BEACH
800 SEMINOLE RD
ATLANTIC BEAC,FL 32233
l2 05!2018 15:27:33
CREDIT CARD
VISA SALE
CARD o XXXXXXXXXXXX6S01
:INVOICE 0005
3EQ 0005
Batch#: 000729
Approval Code: 126104
Entry Method: Manual
Mode: Oitline
Tax Amount: $0.00
Card Code: M
SALE AMOUNT $94.00
CUSTOMER COPY
Date Paid: Monday, February 05, 2018
Paid By:TITAN ELECTRIC GROUP, INC.
Cashier: CB
Pay Method: CREDIT CARD 126104
Printed: Monday,February 05,2018 3:31 PM 1 of 1 �p
