152 3rd St - Electrical \`�' CITY OF ATLANTIC BEACH
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J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1240
Job Type: ELECTRIC ONLY
Description: ELECTRIC IN RESIDENCE
Estimated Value:
Issue Date: 6/1/2016
Expiration Date: 11/28/2016
PROPERTY ADDRESS:
Address: 152 3RD ST
RE Number: 170196-0000
PROPERTY OWNER:
Name: ANDO. STEPHANIE ELIZABETH
Address: 152 3RD ST
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
Electrical Repairs $35.00
Trade Permit Base Fee $55.00
Total Payments: $94.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845 I —ELE C-1 Z 4 0
JOB ADDRESS: /s jcJ Cc..L.1- PERMIT# /J /AO -3I3
JEA INFORMATION REQUIRED ON ALL PERMITS ZLt AMPS ''(4 0 VOLTS PHASE
VALUE OF WORK$
NEW SERVICE D Overhead ❑ Underground EdUnderground up Pole
[IResidential(Main) Service
u0-100 amps 101-150amps 451-200amps rl amps #of Meters
1 Commercial(Main) Service
'J0-100 amps i 101-150amps 151-200amps amps `:CT Service amps
Conductor Type Size
[1Multi-Family(Main) Service
[10-100 amps H 101-150amps f 151-200amps amps #of Unit Meters
1 I Temporary Pole .1 amps
SERVICE UPGRADE amps LI CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps [ '150amps r 200amps amps ICT 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
H Swimming Pool : 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 Burnt/Damaged Meter Can r Safety Inspection Panel Change : OH to UG
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. Re-5
/Propey Owners Name fiuI/'S dein Phone Number(404)z�l 1-O"J
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Electrical Company --\-\--kAW T i C Clke.O'J\� Offi e Phone
Co. Address: Z-1;°` 1 t I[��. City)t\6�iO 1\�1'N, c, State r L Zips
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License Holder (Print): IA /ir/ L L . / I'� .AO State Ce s..on/Registration# �•ct3°O32-('Z—
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Notarized Signature of License Holder
Denise A.Ennis Sworn and subscribed before me is 31 day of M 20
.� NOTARY PUBLIC
STATE OF FLORIDA Signature of Notary Public
s.:. _. Came FF986426
Expires 3/1/2020
111111
The Titan Electric Group
EC 13003262
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rFLEC1.
Date:Tuesday, May 31", 2016
Subject: Electrical Permit- 152 3rd Street
To:City of Atlantic Beach, Building Department
To whom it may concern,
From this date forward,Titan Electric Group is taking responsibility of the electrical scope of work for
the Hillis Residence located at 152 3rd Street in Atlantic Beach, Duval County, Florida.This contract is
awarded from Bosco Building Contractors, Inc. to The Titan Electric Group, Inc to complete the
remaining work and take responsibility for all previous work.
Titan Electric Group has conducted an inspection and verified all previous work on this project complies
with the Florida Building Code 5th Edition (2014).
Print Name:C 3-r\.eS VNI• (Ie-r(1 r o knv.c:E
Title: ?re_.i ckryk-- \\°`^) r1Cr
STATE OF FLORIDA
COUNTY OF DUVAL
SWORN TO AND SUBSCRIBED before me this ? t day of M.0-1 , 2016 by
, who is personally known to me f" ) or has produced
L cc.+-)s._ as identification.
(Notary Seal) •. • Denise A Ennis N tt Public
NOTARY PUBLIC Dz v' LS L A.• -C rv' lS
� :-STATE OF FLORIDA Print Name
�Li5. '� Commit FF966426
Expires 3/1/2020 My Commission expires:
2730-7 Clydo Road,Jacksonville, FL 32207 Phone 904-367-0676 Fax 904-367-0544
sales@titanelectricgroup.com
Bosco Building Contractors, Inc.
2158 Mayport Road, Atlantic Beach, Florida 32233
PURCHASE ORDER
DATE: May 30, 2016 PURCHASE ORDER NO. 13-16
VENDOR: )OB NAME:
The Titan Electric Group, Inc. Hillis Residence
152 31d St, Atlantic Beach, FL
Scope of Work:
Inspect existing electrical system. Submit a letter to the city that you are taking full
responsibility of the 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#13-16; any Invoice without the referenced Purchase Order number
will not be processed.
**All invoices will be paid when funded by Owner.
TOTAL: COST/PLUS
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y: 73e.td.7/
TODD BOSCO, PRESIDENT The Titan Electric Group, Inc.
Phone: 904.241.0320 Fax:904.241.0326 Email: Info@BoscoCBC.com CBC 1250212
www.BoscoCBC.com