377 8TH ST - NEW ELECTRICAL SERVICE SS' CITY OF ATLANTIC BEACH
A ' J 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-2075
Job Type: ELECTRIC ONLY
Description: new underground service - 200 amps, 240 volts, single
phase
Estimated Value:
Issue Date: 9/15/2016
Expiration Date: 3/14/2017
PROPERTY ADDRESS:
Address: 377 8TH ST
RE Number: _ 169978-0000
PROPERTY OWNER:
Name: BOUTSELIS JOHN & JENNIFER, *
Address: 7050 BUSEY RD
GENERAL CONTRACTOR INFORMATION:
Name: TITAN ELECTRIC GROUP, INC.
, EC13003262
Address: 2730 -7 CL CLYDO RD QA CHARLES WILLIAM
BELINGHOFF
Phone: - -
FEES:
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
New Single Family Electrical $70.00
Trade Permit Base Fee $55.00
Total Payments: $129.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACII ORDINANCES AND THE FLORIDA
BUILDING CODES.
ELECTRICAL,PERMIT APPLICATION
CITY OF.A•TLANI'IC BEACH
800 Seminole Rd, Atlantic Beach, l'I,32233
_ Ph(904)24'-5826 Fax (904)247-5H45 Ib—&t,&-C—ao1S
JOB/DURESS. - _- j� �- \t_'
-(t-414 .._. .._PFRMl'1'it I 6S �i1' �IZ1 �as
,LEA INFORMATION REQUIRED ON ALL PERMITS J AMPS- L _- Q VOLTS =. PHASE �.
VALUE OF WORK$
NEW SERVICE (,•LL_,I Overhead I ] Underground Vcilliderground.trp Pok
`.'Residential(Main)Service
110-100 amps I 1 101-150amps :t S I-200ampsamps #I of Meters
I !Commercial(Main)Service
110-100 amps I:i 101•-150amps I.IIS 1-200amps I I _ _amps I ICT Service amps
Conductor Type____,_. _ Size
I (Multi-Family(Main)Service - _. .________ ___
.
00-100 amps 1-1101-150amps 11151.200amps t i - amps #of Unit Meters
f(Temporary Pole CI-_ __ amps __.
SERVICE UPGRADE 11 amps LI CT Service`^ amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
Li 100 amps ❑150amps 0200amps 0 amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-I 00amps 101-200amps •
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
0 Swimming Pool ❑ Sign ❑Smoke Detectors _Qty °Transformers KVA Cl Motors hp •
•
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS s
[(Replace Burnt/Damaged Meter Can [(Safety Inspection [(Panel Change DOH to UG `• '
[(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 Ma4147.( Nr, Phone Number /4-U3-
Electrical Company t v TAN f LE CTA I C� oma? N i Office Phoneto4.367-o674Fax409.3(074551.(4 .
Co.Address: ,1,1 d-1 Ci...-mo "RD, City J r4CkSozauli( . State FL Zip 32,401
License Holder (Print):C 14(QI I t•161-1DC-4- State Ce ' c.�.n/Registration #K,C.1oo 326 3...
Notarized Signature of License Holder . 8 _. : </
Dense A.Ennis Sworn and subscribed before mc jis Sday
.Y , NOTARY PUBLIC
ofArSc_pi-.• 20 l.�-
STATE OF FLORID!
% -3°
.- Signature of Notary Public _ ,`
Cam*FF96642f — — - a.
Expires 3/1/2020