675 BEACH AVE - ELECTRIC (2) -S L 1.1
J
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" ' s� CITY OF ATLANTIC BEACH
9800 SEMINOLE ROAD
-1 - -______2--X 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-1575
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 8 OUTLETS, 8 FIXTURE BOXES, ONE 1/2" PUSH
PENNY, WP COVER
Estimated Value:
Issue Date: 7/13/2016
Expiration Date: 1/9/2017
PROPERTY ADDRESS:
Address: 675 BEACH AVE
RE Number: 170121-0000
PROPERTY OWNER:
IName: BENZ, JAMES W & CATHERINE M,
Address: 675 BEACH 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
1 Trade Permit Base Fee $55.00
Total Payments: $94.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
RI II DING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 � ��
Ph (904) 247-5826 Fax (904) 247-5845 ELE.C. _' S-75fir
JOB ADDRESS: I C ai\IE• PERMIT#
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JEA INFORMATION REQUIRED ON ALL PERMITS _ZOO AMPS -tAt VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground I U Underground up Pole
Residential (Main) Service
0-100 amps 101-150amps 151-200amps amps #of Meters
Commercial (Main)Service
,0-100 amps 101-150amps 151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
C'0-100 amps 1 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole I amps
SERVICE UPGRADE I 1 amps ' ICT Service amps
NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps I '150amps r1200amps I 1 amps ' ICT Service amps
ADDITIONS,REMODEL EPAIRS, 3UILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 1 0- amps 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
1 Swimming Pool I Sign ' 1Smoke Detectors_Qty i (Transformers KVA ! Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
ReplaceBurntlDamaageedMeter Can Safety Inspection ' Panel Change ' 'OH to UG
/Other: \ (Of/MVO.VVI) } ( YefiNt411{)aka(6)\ff VK
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 he 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
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( 4A '0 Name \ .. WA..1•_ Phone Number`r\
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Electrical Company t / ll"T4
P Y ,� l C, v fit/U? Offi e Phone�lfl '-O Fax(01
Co. Address: r'- U. )O City, Agt State L Zip'
License Holder (Print): SI 1.6,„ 1. • S,. .1.....,_U I 1., State Ce inc, •.•�/'.�istration
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Nola��.' Ila Ennis ,nse Holder /�� / -- °✓/
_.4o STATE OF FLORIDA ' ,
•�.•:�- Comm.FF96642g Sworn and subscribed beforepe this day of 2OlCa_
Expires 3/1/2020
Signature of Notary l'ubli