697 Beach Ave New Garage & Room - Electric �S 1 \<<
\ CITY OF ATLANTIC BEACH
- ' ��' )r 800 SEMINOLE ROAD
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-1242
Job Type: ELECTRIC ONLY
Description: ELECTRIC - NEW GARAGE AND BONUS ROOM
Estimated Value:
Issue Date: 6/1/2016
Expiration Date: 11/28/2016
PROPERTY ADDRESS:
Address: 697 BEACH AVE
RE Number: 170119-0000
PROPERTY OWNER:
Name: WENTZ ET AL, WILLIAM MICHAEL
Address: 99 N LINCOLN AVE
PROPERTY OWNER:
Name: COLLINS JTRS. ZANE MICHAEL
Address: 99 LINCOLN AVE
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: $94.00
I
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/G / Ph (904) 247-5826 Fax (904)247-5845 �
CoCp � C-I
JOB ADDRESS: 6 !7 4 PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z��i AMPSV VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
Residential(Main)Service
0-100 amps 1 1101-150amps : 1151-200amps amps #of Meters
Commercial(Main)Service
0-100 amps 1101-150amps 1 1151-200amps amps CT Service amps
Conductor Type Size
H Multi-Family(Main) Service
Ell 0-100 amps 1101-150amps 1151-200amps rl amps #of Unit Meters
"'Temporary Pole I amps
SERVICE UPGRADE ❑ amps LI CT Service amps
NEW FE1xDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
V100 amps ❑150amps ",200amps I amps ICT Service amps
ADDITIONS,REMODEI��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: l
OTHER ELECTRICAL PROJECTS
" Swimming Pool r , 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 I Panel Change OH to UG
i :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. �{�( ��j I
Property Owners Name J _11 .r Phone Number `f't��'1 l
Electrical Company-The-it1h t-c4rt L GY-cnkp Office Phone-77(11-01(12Fax
Co. Address: 2-13O 1 C 1 jc10 Rd Citycc SO J1\t,c, State`Zip 322-01
License Holder (Print): Chortle--S \N• Bee Sta - '- • i.' on/Registration# eGI"bo03262,..
Notarized SiJi�r License Holder tz , L' /
f ,t NOTARY PUBLIC Sworn and subscribed before /this I day of kActAi 201 G
�� STATE OF FLORIDA
�"1 :�: Comas"FRO 426
• • 3/1/2020 Signature of Notary Public
Bosco Building Contractors, Inc.
2158 Mayport Road, Atlantic Beach, Florida 32233
PURCHASE ORDER
DATE: May 30, 2016 PURCHASE ORDER NO. 18-16
VENDOR: JOB NAME:
The Titan Electric Group, Inc. Dehart Residence
697 Beach Ave, Atlantic Beach, FL
Scope of Work:
New construction of garage and bonus room.
••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.
••5%retainage will be held on all sub-contractors until we have received final payment from the Owner.
••All Invoices must refer to Purchase Order#18-16; any Invoice without the referenced Purchase Order number
will not be processed.
••All invoices will be paid when funded by Owner.
TOTAL: $2,553
Accepted/A•p,•
Bye ,•0✓ By: 3
TODD BOSCO, PRESIDENT The Than Electric Group, Inc.,
Phone: 904.241.0320 Fax: 904.241.0326 Email: Info@BoscoCBC.com CBC 1250212
www.BoscoCBC.com
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