190 CLUB DR - ELECTRIC NEW SERVICE ! 0tii:tCITY F ATLANTIC BEACH
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f 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
0;s 9V INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0009
Description: 200 amps/240 volts/single phase- panel change
Estimated Value: 950
Issue Date: 5/10/2017
Expiration Date: 11/6/2017
PROPERTY ADDRESS:
Address: 190 CLUB DR
RE Number: 170316 0000
PROPERTY OWNER:
Name: MAHLER JOHN E
Address: 190 CLUB DR
ATLANTIC BEACH, FL 32233-5420
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$7,500.
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ELECTRICAL PERMIT APPLICATION ,ry ? /067CITY OF ATLANTIC BEACH 06/— (�J —� —J� -7
800 Seminole Rd, Atlantic Beach,FL 32233
Ph(904)247-5826x1Fax (904)247-5845
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JOB ADDRESS: OD Cup biz„. PatlAt ... ,v ,�jZ2.- PERMIT# 6 C--& 5i 1 "-'0009
JEA INFORMATION REQUIRED ON ALL PERMITS -2_00 AMPS 140 VOLTS I PHASE
VALUE OF WORK 4060
NEW SERVICE I I Overhead r1 Underground rw Underground up Pole
°Residential(Main)Service
00-100 amps °101-150amps 0 151-200amps U amps #of Meters
ClCommercial(Main)Service
00-100 amps 1.1101-150amps 0151-200amps 0 amps I ICT Serviceamps
Conductor Type Size �___
[-iMulti-Family(Main)Service
[10-100 amps [1101-150amps 0151-200amps rL.- amps #of Unit Meters
i 1Temporary Pole El amps
SERVICE UPGRADE LI amps Ci CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
0100 amps °150amps °200amps CI amps OCT Service amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC.
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amps 101-2.00amps
A/C Circuits: 0-60amps 61-100amps
Heat Circuits: # circuits @ kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS
U.Swimming Pool 0 Sign 0 Smoke Detectors Qty °Transformers KVA °Motors hp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK$
REPAIRS/MISCELLANEOUS
Cl Replace Burnt/Damaged Meter Can i I Safety Inspection 1 Panel Change DOH to UG
0 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 Qik� k ,,111 tt \\Akio..
Phone Number( 04)Z4t'0;2t'
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Electrical Company //-1-6.-TT A,...)e--lCe-IR le G/ic >P 11vM Office Phon$0.9)31,-)-cel„7(.. Fax3o`i)3C7-6S'il
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Co. Address:27�jG -") C_.'i o 'Aa City-Jt' _K'ier;,..tr,c.iC Stateq.._. Zip 3 267
License Holder(Print)C I'FN2 t&S )A1 1-3c--&_, 6l-i[>:- State cejtiiication/Registration#CC130(>316-J—
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Notarized Signature of License Holder r -)�/, 6,./z/ -
Sworn and subscribed before me this s day of 1 V 201* I
Denise A.Ennis
NOTARY PUBLIC Signature of Notary Public r> Q ��)— up
4 : STATE OF FLORIDA •
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Expires 3/1/2020