377 8th St - Electric Permit r ✓��'
`S6 CITY OF ATLANTIC BEACH
r J 800 SEMINOLE ROAD
J �
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1241
Job Type: ELECTRIC ONLY
Description: TEMPORY POLE 60 AMPS
Estimated Value:
Issue Date: 5/31/2016
Expiration Date: 11/27/2016
PROPERTY ADDRESS:
Address: 377 8TH ST
RE Number: 169978-0000
PROPERTY OWNER:
Name: BOUTSELIS JOHN & JENNIFER,
Address: 7050 BUSEY RD
GENERAL CONTRACTOR INFORMATION:
Name: TITAN ELECTRIC GROUP, INC.
Address: 2730 -7 CL CLYDO RD QA CHARLES WILLIAM BELINGHOFF
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Temporary Electrical Service $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233
Ph (904) 247-5826 Fax (904)247-5845 CO C _ 1Z_ 4
JOB ADDRESS: -37'7 8 f' S4- PERMIT# U-,SPR-/UO y
JEA INFORMATION REQUIRED ON ALL PERMITS -toc) AMPS �`'[Q VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground E Underground up Pole
❑Residential(Main) Service �
❑0-100 amps El101-150amps 1151-200amps []_____._amps #of Meters
[]Commercial(Main)Service
❑0-100 amps 1110 1-I 50amps ❑151-200amps El-amps ❑CT Service amps
Conductor Type Size
[]Multi-Family(Main)Service
1;0-100 amps 1110},-I 50amps ❑151-200amps ❑ amps #of Unit Meters
Yremporary Pole ❑ amps
SERVICE UPGRADE []-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-l 00amps 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 ❑Safety Inspection ❑Panel Change ❑OH to UG
Lj Other:
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.
lc'*,�
f r &0�,t
qac ,�1—o37-A
Property Owners Name G'IS �S l3 - 1'�, 25'1,' Phone Number
11
Electrical Company TVe- 'T"1+0- n Of c-A-r 1C, Office Phone904361•0(--1�o Fax904 3 r-'l 0-5q4
Co.Address: _2-_1_10__A Ck!�)cko Q.vr"+c-� City �Gck4s4nJ ll\L Stater Zip 37:10-1
V
License Holder (Print): amrks. VJ e- lrvo Stat rt' ation/Registration #
Notarized Signature of License Holder �.
Denise A.Ennis
NOTARYPUSI.iC Sworn and subscribed before Tathis day of T 20
STATE OF FLORIDA
C4m„ F " Signature of Notary Public
Expires 3/1/2020
AhBosco Building Contractors, Inc.
PURCHASE ORDER
DATE: May 30, 2016 PURCHASE ORDER NO. 16-16
VENDOR: JOB NAME:
The Titan Electric Group, Inc. Christamtsis Residence
3778 1h Street, Atlantic Beach, FL
Scope of Work:
New construction, entire electrical system.
••All work to be completed in a workmanlike manner according to standard practices and local codes.
'
*Any Alterations and or Deviation from the Drawings or Specifications involving additional costs or otherwise,
must be Approved by Bosco Building Contractors, Inc.
••Any Employee that is on the Job must be fully covered by Workers Compensation Insurance.
••All subcontractors are responsible for cleaning their work area on a daily basis.
•*All Invoices must refer to Purchase Order#16-16; any Invoice without the referenced Purchase Order number
will not be processed.
**A//invoices will be paid when funded by Owner.
TOTAL: $18,815
Accepted/Ap
By:
TODD BOSCO, PRESIDENT The Titan Electric Group, 161
Phone: 904.241.0320 Fax: 904.241.0326 Email: Info@BoscoCBC.com CBC 1250212
www.BoscoCBC.com