1957 SEMINOLE RD - ELECTRIC r'
S -`-1r
\S, CITY OF ATLANTIC BEACH
:." ` j 800 SEMINOLE ROAD
j' ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
�
J3319)
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1592
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 11 OULETS
Estimated Value: $2,200.00
Issue Date: 7/15/2016
Expiration Date: 1/11/2017
PROPERTY ADDRESS:
Address: 1957 SEMINOLE RD
RE Number: 169542-0512
PROPERTY OWNER:
Name: BOYLE, JOSEPH F
Address: 1957 SEMINOLE RD
GENERAL CONTRACTOR INFORMATION:
Name: TITAN ELECTRIC GROUP, INC.
Address: 2730 -7 CL CLYDO RD QA CHARLES WILLIAM BELINGHOFF
Phone: - -
FEES:
Total Payments: $0.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
/ Ph (904)
247-5826 Fax (904) 247-5845 I Co-EL-EC-IS-7(o
JOB ADDRESS: A'5* 1v\� O - PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS WO AMPS t4 VOLTS i PHASE
VALUE OF WORK$ �iZ-O 00
NEW SERVICE ❑ Overhead (1 Underground [J! Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps l 51-200amps amps #of Meters
Commercial(Main) Service
i i0-100 amps ' 101-150amps 151-200amps amps ' 'CT Service amps
Conductor Type Size
,Multi-Family(Main) Service
10-100 amps " 101-150amps 151-200amps , amps #of Unit Meters
!Temporary Pole 11 amps
SERVICE UPGRADE II amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.)
1 100 amps 11150amps r 1200amps 1 ' amps 1 ICT Service amps
ADDITIONS, ' u ID 'EPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES, ETC.
Outlets/Switches: i 0-30amps 31-100amps 101-200amps
Appliances: • 0-30amps I 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw...4_
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool ` Sign ' 'Smoke Detectors Qty I 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� I Safety Inspection I Panel Change
OH to UG
Other: 4O\L V J & ATnsU4.0 . U7 Vi Olt knt016(1)
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� nProperty Owners Name0 -aV1L 1 YCO Phone Number ( 94) k\ V tO
�t y
Electrical Company`CVY� C- etlakip Offi e Phoneag(g."0(I21,0 Fax 5t�T'O 4
Co. Address: V;'04 DV PO. ,City ( State ft Zip77--C2I
License Holder (Print)., * I L. VA J 1 tt._.0 OK _ State Cc■i f ir, • ' _istration t -
Noway . '',j» a rn.ce I/older A. (/i ,2 //
STATE OF FLORIDA
CameFF9064� Sworn and subscribed before me thl. t day of (..}1-‘3 20 6
• Expires 3/1/2020
Signature of Notary Public