1380 CAMELIA ST - TEMP POLE I \
`�'� ' '� CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP17-0034
Description: 60 amps/240 volts/single-phase temporary pole
Estimated Value: 0
Issue Date: 11/30/2017
Expiration Date: 5/29/2018
PROPERTY ADDRESS: -
Address: 1380 CAMELIA ST
RE Number: 171050 0205
PROPERTY OWNER:
Name: PATRICK GLEBER INC
Address: 888 KINGMAN RD
HOMESTEAD, FL 33035
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: ELITE ELECTRICAL SERVICES LLC
Address: 11611 CAPE HORN AVE QA MICHAEL CHARLES
SCHWEITZER
JACKSONVILLE, FL 32246
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
h(904) 247-58 6 Fax (904) 247-5845
Jos ADDRESS: / )7().
P �j-C� �f �Ntp t l ~ d o'&1l PERMIT#
INFO°a ' TION REQUiHtBDCO LEOL PER1MhITS a , 0'S VOL lT ( P : S{D
VALUE OF WORK$
NEW SERVICE ❑ Overhead n Underground nT Underground up Pole
❑Residential(Main) Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps # of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
Temporary Pole ❑ amps
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: 0-3 Damps 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 ❑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 ❑Panel Change ❑OH 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. / //g/51175-Property Owners Name �i Phone Number
Electrical Company 42(r(( / /<C �P/-/L C(5' Office Phone C/J�� Oraax
Co.Address: //6(' 0/4 OY7% City •T/r State L Zip,2Z-
License Holder (Print „.//,,. :,.s _ // ` - 7 d j State Certification/Registration#4-M5N3
ignalfeiSWs € lder / 1// - 'CV- --111r.- ---- ------ ------
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-* EXPIRES:October 27,2020 day of Oki Q, ( 20 fl-
i, a. n efore me this
'tF .F o?, Bonded Thru Notary Public Underwriters
Signature of Notary Public `' 0 -