331 7TH ST - ELECTRICAL , ,,„.‘„J:„..,
OP s CITY OF ATLANTIC BEACH
,_.,_
o800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
''.costa,' INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0024
Description: electrical remodel -200 amps/240 volts/single phase
Estimated Value: 750
Issue Date: 5/23/2017
Expiration Date: 11/19/2017
PROPERTY ADDRESS:
Address: 331 7TH ST
RE Number: 169922 0000
PROPERTY OWNER:
Name: OSWALT SUSAN M
Address: 331 7TH ST
ATLANTIC BEACH, FL 32233
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$7,500.
ELECTRICAL PERMIT APPLICATION tr4.,....VA 3319
CITY OF ATLANTIC BEACH l� 1
800 Seminole Rd,Atlantic Beach,FL 32233
"'� l Ph(904)247-5826 Fax (904)247-5845
JOB ADDRESS: .? t 1 Si- PERMIT# Le S I�- DO?I((
JEA INFORMATION REQUIRED ON ALL PERMITS 2-00 AMPS IAO VOLTS I PHASE
00
VALUE OF WORK$ .
NEW SERVICE ❑ Overhead I Underground I 11 Underground up Pole
LiResidential(Main)Service
00-100 amps 0101-150amps [1151-200amps [ amps #of Meters
11Commercial(Main)Service
[10-100 amps 0101-150amps [1151-200amps Ci_ _ amps IJCT Service amps
Conductor Type _ Size
l.HMulti-Family(Main)Service
00-100 amps LI l01-150amps 1151-200amps L1 amps #of Unit Meters
[ITemporary Pole Li amps
SERVICE UPGRADE 11 amps LJ CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
[1 100 amps ri 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 31-100amps 101-200amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: #circuits @ kw
�Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS'
0Swimming Pool 0 Sign Smoke Detectors t Qty LlTransformers KVA [1 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 [i Panel Change H OH to UG
UOther:
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. r
Property Owners Name 'D ' Ie.() l \A Lt - Phone Number At-oszo
Electrical Company(tdC11TAN E.LCCTtQIc..G.Qo)1?i t- C, Office Phonect04-367-0614rFax`7al.% ) •O lt{
Co. Address: a130 Ca.Y(b A o ` ' ;]_ City SRNu1tC-Ck50StateFL Zip 3;1 .01
License Holder(Print)C,l-k sI L S Y'l IJLII.I Mal-10 F-c-• State -rti lye. 'on/Registration#e.0 13003a.o.
Notarized Signature of License Holder IP • _ '. . m...4,/
Denise A.Ennis Sworn and subscribed before me this 2.3 day of M«-n 20"
Y NOTARY PUBLIC ' • • --
STATE OF FLORIDA Signature of Notary Public . • `t a
.111"'!:. . Cams#FF966426
Expires 3/1/2020