74 OCEANSIDE DR - ELECTRIC CITY OF ATLANTIC BEACH
�s\ 800 SEMINOLE ROAD
ti _y_-_,-) 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-1747
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 6 OUTLETS
Estimated Value:
Issue Date: 8/3/2016
Expiration Date: 1/30/2017
PROPERTY ADDRESS:
Address: 74 OCEANSIDE DR
RE Number: 168846-5155
PROPERTY OWNER:
Name: SHUSTER, ELIZABETH A &, *
Address: 74 OCEANSIDE DR 74 OCEANSIDE DRIVE
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 $3.60
Trade Permit Base Fee $55.00
Total Payments: $62.60
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND 711E FLORIDA
BUILDING CODES.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233 , EL
Ph (904) 247-5826 Fax (904) 247-5845 �o V��� `
JOB ADDRESS: '41- 0(‘- .6\W4M- 1/? . PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS 7700 AMPS (�''t-V VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead ❑ Underground 01 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
0-100 amps 1 101-150amps 151-200amps amps #of Unit Meters
1 Temporary Pole amps
SERVICE UPGRADE 1 amps CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
1100 amps ''150amps 1200amps I I amps ICT Service amps
ADDITIONS,REMODEL REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: -L. . 0-30amps \ 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures: U
OTHER ELECTRICAL PROJECTS
Swimming Pool r Sign I '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
n i 'Safety Inspection ! Panel Change OH to UG
/Other: ‘WMU 1,t, tqUN. t'�P -1.5
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 M 11.10-
VPhone Number 1` OZ--•.� '' //
Electrical Company �t MAW— 40DVP Offi e Phone' -t-1WTtu Fax-a Ocllt"
Co. Address: Z.1-"SO--1" *(2 VY. Cit State Yl. Zip 7-‘tar
License Holder (Print): Ct4e(-c.- Y `t t3C-PLti
1/�X1-10�-4 State Certifica • n/ gistration -1V), Z-t.D2
Not.,,,.' •,$ ,• ense Holder C42.,_..4 6-,) , b
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,444•• '•'_Cam*STATE FFg68428 F FLORIDA Sworn and subscribed before me this day of -c 20 .
3/1020 Signature of Notary Public