152 3rd St Garage - Electrical J r '- . Jv�.
�� '.- `S CITY OF ATLANTIC BEACH
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J1 7, ;. .. i i 800 SEMINOLE ROAD
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-1238
Job Type: ELECTRIC ONLY
Description: ELECTRIC IN GARAGE
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: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904) 247-5826 Fax (904) 247-5845 1 E1LE.` � z-58
JOB ADDRESS: /fa PERMIT# /S-IADD- /37'J
JEA INFORMATION REQUIRED ON ALL PERMITS %0 AMPS (alp VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground ❑J Underground up Pole
1 ,Residential (Main) Service
10-100 amps [ 101-150amps 151-200amps amps #of Meters
Commercial(Main)Service
_ 0-100 amps 101-150amps 1151-200amps amps 1CT Service amps
Conductor Type Size
!Multi-Family(Main)Service
0-100 amps h 101-150amps C 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps __ CT Service amps
NEW FEE�ER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
00 amps 1 150amps fl 200amps amps 1 'CT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: \' 0-30amps 31-100amps 101-200amps
Appliances: Z 0-30amps 31-100amps 101-200amps
A/C Circuits: \ 0-60amps 61-100amps
Heat Circuits: \ # circuits @ 4- kw,
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool f ' Sign I-Smoke Detectors_Qty Transformers KVA -1 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 I Panel Change 1 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.
Property Owners Name /it'116 �c L .. Phone Number(Q04')Z4'- 0'12V9
Electrical Company Th-Ti-Van E e.ck-r t c- Grote Office PhonegO13Co1 Oto1(o Fatko4i—]4544
Co. Address: 21- Clyde CitydacknState Zip-31201
License Holder (Print):Choi rte S W• Q'-(1%n enc-1C- S ification/Registration #EC-1-500-5'1V-2_
Z
Notarized Signature of License Holde ;�+�(/ s/
Denise a Etnls Sworn and subscribed befo e this 31 day of .M ct-AD 2
NOTARY PUBLIC
7.40 A -STATE OF FLORIDA Signature of Notary Public �t
-°al`-.v.- CommitFF966426
. Expires 3/1/2020
The Titan Electric Group
ill110\
EC 13003262
'9kFLEC1
Date:Tuesday, May 3151, 2016
Subject: Electrical Permit-152 3rd Street, Garage
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 Garage located at 152 3'd 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).
3 //
i
Print Name: C - \ 3. �e\i k>Cc
Title: Pres %ckev\- - \Q.AI,r,Cf
STATE OF FLORIDA
COUNTY OF DUVAL
SWORN TO AND SUBSCRIBED before me this - l day of d _\� , 2016 by
, who is personally known to me NJ of produced
Q- Nte,r Li0LnSQ) as identification.
ywv�.2-1
Denise A.Ennis
(Notary Seal) Notary Public
NOTARY PUBLIC
`it4 =STATE OF FLORIDA n
�+•-''` Cantu#FF966426 Print Name
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
A, Bosco Building Contractors, Inc.
2158 Mayport Road, Atlantic Beach, Florida 32233
PURCHASE ORDER
DATE: May 30, 2016 PURCHASE ORDER NO. 14-16
VENDOR: JOB NAME:
The Titan Electric Group, Inc. Hillis Garage
152 3rd St, Atlantic Beach, FL
Scope of Work:
1. Inspect existing electrical system. Submit a letter to the city that you are taking full
responsibility of the entire electrical system.
2. Trim
3. Cover plates
4. Fixtures
••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#/4-16;any Invoice without the referenced Purchase Order number
will not be processed.
••All invoices will be paid when funded by Owner.
TOTAL: COST/PLUS
Accepted/Ap t•
/.� By: ht), D /
Thi S D BOSCO, PRESIDENT The Titan Electric Group, Inc.,
Phone: 904.241.0320 Fax: 904.241.0326 Email: Info@BoscoCBC.com CBC 1250212
www.BoscoCBC.com