1137 Violet St new elec permitCITY OF ATLANTIC BEACH
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-2155
Job Type:
ELECTRIC ONLY
Description:
NEW SERVICE 200 AMPS 240 VOLTS 1 PHASE
Estimated Value:
Issue Date:
9/26/2016
Expiration Date:
3/25/2017
PROPERTY ADDRESS:
Address:
1137 VIOLET ST
RE Number:
None
PROPERTY OWNER:
Name:
PATRICK GLEBER INC.
Address:
GENERAL CONTRACTOR INFORMATION:
Name: ELITE ELECTRICAL SERVICES LLC
Michael Charles Schweitzer, EC13005843
Address: 11611 CAPE HORN AVE QA MICHAEL CHARLES
SCHWEITZER
DDnna• - -
FEES:
Electrical Primary Service $50.00
State Elec DBPR Surcharge $2.00
State Elec DCA Surcharge $2.00
Trade Permit Base Fee $55.00
Total Payments: $109.00
PERMIT IS APPROVED ONLY M ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
JOB ADDRESS: /I
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph (904) 247-5826 Fax (904) 247-5845
JEA INFORMATION REQUIRED ON ALL PERMITS 7WAMPS OLTS PHASE
NEW SERVICE ❑ Overhead
)fResidential (Main) Service
00-100amps 0101-150amps
❑Commercial (Main) Service
00-100 amps ❑ 101-150amps
Conductor Type
❑Multi -Family (Main) Service
00-100 amps 0101-150amps
❑Temporary Pole ❑ amps
_4l
VALUE OF WORK $
Underground QI Underground up Pole
Xll1-200amps ❑ amps # of Meters
/❑ 151-200amps ❑ amps ❑CT Service amps
Size
1115 1-200amps ❑ amps # of Unit Meters
SERVICE UPGRADE ❑ amps ❑ CT Service amps
NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.)
❑ 100 amps ❑ 150amps 0200amps ❑ amps ❑CT 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
❑Swimming Pool ❑Sign ❑ Smoke Detectors _Qty ❑Transformers KVA ❑Motorshp
FIRE ALARM SYSTEM (Requires 3 sets of plans)
Qty volts/amps VALUE OF WORK S
REPAIRS/MISCELLANEOUS
Replace Burnt/Damaged Meter Can ❑ Safety Inspection []Panel Change ❑OH to UG
Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certty that i have
read this application and know the same to be one 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. /7
Property Owners Name /�re�/�G Phone Number per/
Electrical Company �r o �Gf Office Phonef ��7!/ F}aax
Co. Address: / O% Cijy State lG Zip
r
License Holder (Print): / /� e Ceftificationa%istration #
Notarized Signature of License Holder
91 fn,., aY`t Nti..wlinwa�t Before me this �O" dayof 4a 20 I(a
E%.Mea.wW%1].201f rI p
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1-V._O,� Vwo ae..r Signature of Notary Public (I vyY/