1640 SEA OATS DR - ELECTRIC (--.
CITY OF ATLANTIC BEACH
110 r.., 800 SEMINOLE ROAD
V �i ATLANTIC BEACH, FL 32233
f INSPECTION PHONE LINE 247-5814
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ELECTRICAL PERMIT
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOB INFORMATION:
Job ID: 17-ELEC-3740
Job Type: ELECTRIC ONLY
Description: ELECTRIC - 15 FIXTURES, 25 OUTLETS & 2 CIRCUITS
Estimated Value: $2,000.00
Issue Date: 4/11/2017
Expiration Date: 10/8/2017
PROPERTY ADDRESS:
Address: 1640 SEA OATS DR
RE Number: 172020-0.238
PROPERTY OWNER:
Name: PATTERSON, JARED M
Address: 1640 SEA OATS DR
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
Electrical Heat $2.00
AC Circuits $5.00
Switch Outlets $15.00
Lighting Outlets, Including $9.00
Fixtures
Trade Permit Base Fee $55.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
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I CITY OF ATLANTIC BEACH
..;_''..7
800 SEMINOLE ROAD
_____)
J ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
..,_____________9
Total Payments: $90.00
•
PERNIFF IS APPROVED ONLY IN ACCORDANCE WITII ALL (Irl' OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
4
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 i _ •
C_ 37 /� J'1
'l#^ R Ph(904) 247-5826 Fax (904) 247-5845 I `-t
JOB ADDRESS: `C I 6 ,. I i P r • __�___ PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS Z-00 AMPSO VOLTS ( PHASE
i CV
VALUE OF WORK$Z-1 O i•
NEW SERVICE n Overhead Li Underground L_U Underground up Pole
[1Residential (Main)Service
DO-100 amps 0101-150amps 0151-200amps [J ___amps #of Meters
LiCommercial(Main)Service
00-100 amps ❑101-150amps 1115 1-200amps 0 amps OCT Service_ ,__amps
Conductor Type Size_ v
liMulti-Family(Main)Service
00-100 amps 0101-150amps 0151-200amps 0 ___amps #of Unit Meters______
{]Temporary Pole Cl _amps
SERVICE UPGRADE 0 amps Li CT Service____amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps 0 iSOamps 0200amps [3 amps 0 C Service amps
ADDITIONS, REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: Z 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-200atnps
A/C Circuits: % 0-60amps 61-100amps
Heat Circuits: . #circuits @ S kw
Number of Lighting Outlets, Including Fixtures: '.S
OTHER ELECTRICAL PROJECTS
0 Swimming Pool 0 Sign C1Smoke Detectors _Qty ['Transformers KVA [I Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
❑Replace Burnt/Damaged Meter Can OSafety Inspection {!Panel Change OOH to UG
0Other:
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. N �'1 f . gyp �j
Property Owners Name )9 YN� k- , ..A.tf` c- .?i \ �Y3 4 Phone Number(c.IA)r.A\'O 9 0
Electrical Company itr 1 t'Dv.) LL'C-T1?t e. G AP?XN C Office Phon b'i %7 - 7 CFax/ jOy>3(,j.-OSy-1
Co. Address:2730-7 CLYDO t.D, City TACr^SOMtti.. State L Zip32 267
License Holder(Print):C l41 (? ) • 1 r-- State Ce 'fjc ion/Registration _(3Cx-)32 2.
Notarized Signature of License Holder —(: 1/z. '. . - . ._rr � �
#:
DeniseA Ennis Sworn and subscribed before me tt is
+ 1 c' "-i"day of rt` 20 11
NOTARY PUBUC Signature of Notary Public
:it'd STATE OF FLORIDA
.t... _.+• Co nsil�FF966426
• Expires 3/1/2020