1073 BEACH AVE - METER CAN REPAIR r='3 ~ f`� CITY OF ATLANTIC BEACH
Ss1
P A ? 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
. 01119INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0025
Description: REPLACE BURNT METER CAN
Estimated Value: 0
Issue Date: 5/23/2017
Expiration Date: 11/19/2017
PROPERTY ADDRESS:
Address: 1073 BEACH AVE
RE Number: 170268 0000
PROPERTY OWNER:
Name: OKEN DEBORAH MARIE
Address: 1073 BEACH AVE
ATLANTIC BEACH, FL 32233-5753
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: TITAN ELECTRIC GROUP, INC.
Address: 2730 -7 CL CLYDO RD QA CHARLES WILLIAM BELINGHOFF
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU PAYING TWICE FOR
IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB
SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN
FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd,Atlantic Beach,FL 32233 �— ��-- �CC
Ph(904 247- 82 Fax (904) 247-5845 C R W 17-CO iS
.TOB ADDRESS: 1043 me,, PERMIT#
JEA INFORMATION REQUIRED ON ALL PERMITS�O AMPS VOLTS I PHASE
Oo
VALUE OF WORK 416Ca
NEW SERVICE CI Overhead LI Underground I J Underground up Pole
[:)Residential(Main)Service
(70-100 amps U 101-150amps 11151-200amps Ii amps #of Meters
LiCommercial(Main)Service
L10-100 amps Li 101-150amps [7151-200amps [1 amps F ICT Service_�_amps
Conductor Type Size
1-1Multi-Family(Main)Service
[10-100 amps ()101-150amps [1151-200amps LI amps #of Unit Meters
;:]Temporary Pole,[:1 amps
SERVICE UPGRADE t1amps E CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
11100 amps (1150amps 0200amps U amps UCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200arnps
Appliances: 0-30amps 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
❑Swimming Pool (11 Sign DSmoke Detectors Qty ❑Transformers KVA CIMotors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REP*S/MISCELLANEOUS
eplace Burnt/Damaged Meter Can LSafety Inspection CPanel 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\ d
j j . OftPhone Number z4t -O O
Electrical CompanyThti 1 tT4At ' IC-C"I'CO.CCvv?11-t`lc Office Phone104-3(.T-V61(o Fax't04 3(0l•v5` 4
Co.Address:113c) -1 C_LY t7o WO. City? c__Kcialy t. State `-1. Zip 32 X01
License Holder(Print): la '- -• kl .' " L l N6\.l6Fg Sta e,, ,/ion/Registration ie.:.1300.11(,)..
Notarized Signature of License Holder 'A) , . ,/
Denise A.Ennis Sworn and subscribed before - this .2 day of Yla� 20 V (
.�' NOTARYF'UBUC - �� � —J
)1. STATE OF FLORIDA Signature of Notary Public
. .iLi i,,,.-
. . . . CarnnW FF906426
Expires 3/1/2020