967 CAMELIA ST - ELECTRIC CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
\ N\ 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: ERES18-0051
Description: 200 amps/240 volts/single-phase - repair for truss damage
Estimated Value: 0
Issue Date: 2/15/2018
Expiration Date: 8/14/2018
PROPERTY ADDRESS:
Address: 967 CAMELIA ST
RE Number: 170967 0000
PROPERTY OWNER:
Name: PASSAFARO ANGELA M
Address: 967 CAMELIA ST
ATLANTIC BEACH, FL 32233
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MILLENIUM ELECTRICAL CON, INC
Address: 6380 PHILLIPS HWY QA CHARLES MICHAEL EURILLO
JACKSONVILLE, FL 32216
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.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions
applicable to this property that may be found in the public records of this county, and there may
be additional permits required from other governmental entities such as water management
districts, state agencies, or federal agencies.
* 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$7,500.
ELECTRICAL PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Rd, Atlantic Beach, FL 32233
Ph(904)247-5826 Fax(904)247-5845
JOB ADDRESS: 967 CAMELIA,ATLANTIC BEACH PERMIT#RES18-0014
JEA INFORMATION REQUIRED ON ALL PERMITS 200 AMPS z K d VOLTS PHASE
VALUE OF WORK$
NEW SERVICE ❑ Overhead Underground nJ Underground up Pole
❑Residential(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Meters
❑Commercial(Main)Service
❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps ❑CT Service amps
Conductor Type Size
❑Multi-Family(Main)Service
110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters
❑Temporary Pole ❑ amps
SERVICE UPGRADE ❑ amps E CT Service amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.)
❑100 amps ❑150amps 5200amps 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
X Other: Misc wiring removal and reinstall to accommodate truss removal for truss repair due to damage
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 4 Yl y /I, es_s‘ Q 6 (0 Phone Number
Electrical Company: Millennium Electrical Contractors, LLC Office Phone Fax
Co. Address 6661 Southpoint Parkwa City: Jackso.r le State: F,- i. 216
License Holder(Print): • a!S,GL ' / :to e Certification/Registration# f--- C, C 3 LOCH 41
, ,
Notarized Signature of License Holder 7 D
Ns �e.Court Sworn and subscribe• before me this ��` •ay o „1 �� 20/e
MY Commission ExpkM /
,,�•
of April 14,2021 Signature of Notary Public ,i 6
a n Commission No.GG 74831