1451 BEACH AVE - ELECTRIC ee
b' ' `' S z CITY OF ATLANTIC BEACH
- '� ""' 800 SEMINOLE ROAD
J j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
' /___•0569'''
ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 16-ELEC-1746
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 4 OUTLETS
Estimated Value:
Issue Date: 8/3/2016
Expiration Date: 1/30/2017
PROPERTY ADDRESS:
Address: 1451 BEACH AVE
RE Number: 170304-0000
PROPERTY OWNER:
Name: WATKINS ET AL, BROOKS
Address: 1451 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
Switch Outlets $2.40
Trade Permit Base Fee $55.00
Total Payments: $61.40
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 -EL
Ph (904) 247-5826 Fax (904) 247-5845 I 6 - r� C- 174
JOB ADDRESS: 161 A-CA kw.. PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 AMPS • 4O VOLTS ) PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground (1T Underground up Pole
1 Residential(Main)Service
i 0-100 amps 101-150amps 1151-200amps amps #of Meters
Commercial(Main) Service
0-100 amps 101-150amps 1151-200amps amps CT Service amps
Conductor Type Size
Multi-Family(Main)Service
0-100 amps 101-150amps 151-200amps amps #of Unit Meters
Temporary Pole amps
SERVICE UPGRADE amps H CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
.-1100 amps 1150amps 200amps amps CT 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 A
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
Swimming Pool -- 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 -Panel Change 1 OH to UG
J 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 C C1 j)- \10/e4, Phone Number 741 -0;z-0
Electrical
41 - 0;z-
Electrical Company It7Po L Lt1L CtQ-WU> Offi e Phone -O(Qi'1O Fax•;(O O 44
Co. Address: 2-4-W-1- CLy D0 VI,. City XtY,60K 1,t.1G State VU Zip. .a-1(74-
License Holder (Print): C l-4A.P«� •1'Y:PL_!0.Yyl4 3 State C- r • % • on/Registration # rte--1.5(3C0).
Notarized Si nature o License Holde , i3 / /
NOTARY PUBLIC Sworn and subscribed before me t� 2- day of . i 20V.
. STATE OF FLORIDA
- t: ' Coma 26 Signature of Notary Public \
Expires 3/1/2020