1270 Ocean Blvd ERES19-0151 Add Fixtures,Outlets ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0151
800 SEMINOLE ROAD ISSUED: 5/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 11/19/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORMTO THE CURRENT 6TH EDITIONI OF • • •A BUILDING
CODE, AND CITY OF • • OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
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.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
1270 OCEAN BLVD ELECTRICAL RESIDENTIAL 200 amps/240 volts/first $2000.00
phase -add fixtures, outlets
ZONING:TYPE OF REALESTATE SUBDIVISION:BUILDING USE
CONSTRUCTION: NUMBER: GROUP:
171823 0000 MANDALAY
COMPANY: ADDRESS:
FRANKLIN ELECTRIC 93010th Street JACKSONVILLE FL 32250
SERVICE BEACH
• ADDRESS:
STONE MITCHELL 1270 OCEAN BLVD ATLANTIC BEACH FL 32233-5742
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR 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.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455-0000-322-1000 8 $480
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $5500
STATE DBPR SURCHARGE 455-0000-208-0]00 0 $2A0
STATE DCA SURCHARGE 455-0000-208-0600 0 $200
Issued Date: 5/23/2019 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES19-0151
800 SEMINOLE ROAD
ISSUED: 5/23/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 11/19/2019
TOTAL:$67.40
Issued Date:5/23/2019 2 of 2
w � aeON
Electrical Permit Application HIGHLIGHTEDIN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
800 Seminole Rd,Atlantic Beach, FL 32233 p
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMn#: Fi[TSI9—IS(�r
JOB ADDRESS: 1270 Ocean Blvd PROJECT VALUE S$2.000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 200 AMPS 240 VOLTS I PHASE
❑NEW SERVICE: 0overhead OUnderground E3Undergroundup Pole
[Residential(Main)Service:
00-100amps 0101-150amps 0151-200amps 0_amiss #of Meters_
OCommercial(Main)Service:
[10-100amps 0101-150amps 11151-200amps Q_amps ❑CT Service amps
Condb(Mr Type Size
OMulti-Family(Main)Service:
OD-100amps 13101-150amps E]151-200amps 171 amps #of Unit Meters
❑TEMPORARY POLE:_amps
❑SERVICE UPGRADE:❑_amps ❑CT Service amps
❑ NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.):
0100amps 0150amps 0200amps [3__--amps ❑CTService_amps
ADDITIONS,REMODELS,REPAIRS,BUILD-OUTS,ACCESSORY STRUCTURES,ETC:
outlets/Switches: __fi_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 05moke Detectors (Qty) ❑Transformers KVA 0Motors HP
❑FIRE ALARM SYSTEM(Requires 3 sets of plans):
qty volts/amps
❑REPAIRS/MISCELLANEOUS:
[]Replace Burnt/Damaged Meter Can ❑Safety Inspection OPanel Change DOH to UG uodmedto/tr/te
l)ther:
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 goveming this work will be complied with whether
ro
specified or t. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction. Phone Number: 536-9306
Owner Name:Chris Stone
Electrical Company: Franklin Electric Office Phone:eaaaees Fax:
Co.Address: 1270 Ocean Blvd City AOantic Beach State: R Zip:32233
License Holder: a tt Fr n i State Certification/Registration#: ER73013898
Notorired Signature oftlernse Holde�efo,
�tn� �(�
11 [nL 20J_{'n the tate Florid a,County
The foregoing instrumentwasacknowhis. hyo I
Signature of Notary Publ
..J' NOIwy Puplic aYU U FWW.
Y T...Lf 4Be4i det Personally Known ORIf[ I Produced Identificationyam_ ^ t Mr Caroni Gc111ea1 If
Y F E.µres caouzazl Type of Identification:
Cash Register Receipt Receipt Number
J City of Atlantic Beach R9136
DESCRIPTION ACCOUNT CITY D
' PermitTRAK $67.
ZW
ERES19-0151 Address: 1270 OCEAN BLVD APN: 1718230000 $67.40
ELECTRICAL $63.40
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $3.60
ELEC LIGHTING OUTLETS,INCLUDING 455-0000-322-1000 8 $4.80
FIXTURES
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 10 $200
TOTAL $67.40
Date Paid:Thursday, May 23, 2019
Paid By: FRANKLIN ELECTRIC SERVICE
Cashier: CT
Pay Method: CREDIT CARD 026169
Printed:Thursday,May 23,2019 3:08 PM 1 of 1