1380 CAMELIA ST - NEW ELECTRIC SERVICE i'
' '•;\ CITY OF ATLANTIC BEACH
3.0 71'
#' 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE.247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES17-0201
Description: 200 amps/240 volts/single-phase-new electrical service
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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
1
0 � Ph(904) 247-5826 Fax (904) 247-5845 ca-s1�- o�p/
,TOB ADDRESS: -�/lt G� PERMIT#
WA IINF( ;RMrATIO' ItE'0'Ui I i?I) ON ANLL PERMITS ITS _9( AMPS �'lf'J'VOO iL :
�r� � / PHAS
VALUE OF WORK$
NEW SERVICE ❑ Overhead X Underground J Underground up Pole
❑Residential(Main) Service
00-100 amps ❑101-150amps Y151-200amps ❑ amps #of Meters
❑Commercial(Main) Service
00-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps
Conductor Type Size
❑Multi-Family(Main) Service
❑0-100 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 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
❑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: 4/ 6t/ Q14it
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 pia-/ R,, ./47e7.1./ Phone Number
Electrical Company pit ve t/ 7' '2 "1( *y-oei-, Office Phone 1#$3 *I Fax
Co.Address: //6/( CCI,"( /6/7 y�/�,� City 1. State Zip /G_YIO
License Holder(Print): AX--e (� -zfy-- 3( ) C ��� State Certification/Registration#�C �-- �
Notarize/l, "e ,r,. :< P: - ,»' "--i l er j
( :1::
MY COMMISSION k GG 042984 B 4fore me this 3(.J da of EXPIRES:October27,2020y` public Underwriters!.:'4.
. Bonded Thru No,7. .nature of Notary Public �.
4110
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