373 5th St ERES19-0236 Repair Meter/Raise Overhead ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
r CITY OF ATLANTIC BEACH ERES19-0236
800 SEMINOLE ROAD
ISSUED: 8/13/2019
ATLANTIC BEACH. FL 32233 EXPIRES: 2/9/2020
MUST CALL INSPECTION
r • • 1 + 247-5814 BY 4 PM FOR + INSPECTION.
ALL • 'K MUST CONFORM TO THE CURRENT 6TH EDITION1 OF • ' 1 + BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL • • OF PERMITAPPLY, PLEASE READ +
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: •N: VALUE OF • •
373 5TH ST ELECTRICAL RESIDENTIAL REPAIR METER AND RAISE $1000.00
OVERHEAD SERVICE
TYPE OF
ZONING: : i •
• iGROUP:
169873 0000 ATLANTIC BEACH
COMPANY: ADD' STATE:
FRANKLIN ELECTRIC 930 10th Street JACKSONVILLE FL 32250
SERVICE BEACH
• +Di ' STATE:
MACINNES DAVID H 373 5TH ST ATLANTIC BEACH FL 32233-5345
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.
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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE EEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $94.00
Issued Date: 8/13/2019 1 of 2
Electrical Permit Application "ALL INFORMATION
rM HIGHLIGHTED IN
City of Atlantic Beach Building Department GRAY IS REQUIRED.
�* 800 Seminole Rd, Atlantic Beach, FL 32233 f� S i _�Z�
Phone: (904) 247-5826 Email: Building-Dept@coab.us PERMIT#:
JOB ADDRESS: 373 5th Street PROJECT VALUE$ »C0
JEA INFORMATION REQUIRED ON ALL PERMITS:?QAMPS2—"OLTS PHASE
❑NEW SERVICE: D Overhead []Underground ❑Underground up Pole
pResidential(Main)Service:
❑0-100 amps 0101-150amps E1151-200amps ❑ amps #of Meters
[}Commercial(Main)Service:
E10-100amps 0101-150amps 11151-200amps ❑ amps ❑CT Service amps
Conductor Type Size _
❑Multi-Family(Main)Service:
❑0-100 amps 0101-150amps []151-200amps []_amps #of Unit Meters
❑TEMPORARY POLE: amps
SERVICE UPGRADE:❑ amps ❑CT Service amps
❑ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
0100amps 0150amps ❑200amps []_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:
OSwimming Pool❑Sign ❑Smoke Detectors (Qty) ❑transformers KVA []Motors—HP
❑ FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
REPAIRS/MISCELLANEOUS:
❑Replac urnt/Damaged Njeter Can ❑Saafety Inspection ❑Panel Chang,
O to UG
❑Jther: k,f Updated10/17/18
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.
Owner Name: David Mac[nneS Phone Number: 962-5270
Electrical Company: Franklin Electric Inc Office Phone:629-4925 Fax:
Co.Address: P.O Box 51237 City: Jax Bch State: FL Zip: 32240
License Holder: Jarrett Franklin _ State Certification/Registration#: ER13013898
Notarized Signature of License Holder
The foregoing instrument was a k wledged before me this d*oft20 in th S of F Ida,Cou ty Sy 3TIS�YAO Notary Public State of Florida Signature of Notary Public .Tara L Batted-Belmudez
+�'l"�' My Ces 0610 12 21 112881Personal) Known OR roucedentification
wiiir`o Expires 0610812021 � y I
pe of Identification:
aCash RegisterReceipt - • • -
City •
DESCRIPTION • CITY PAID
PermitTRAK $94.00
ERES19-0236 Address: 373 5TH ST APN: 169873 0000 $94.00
ELECTRICAL $90.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL . . . $94.00
Date Paid:Tuesday, August 13, 2019
Paid By: FRANKLIN ELECTRIC SERVICE
Cashier: CT
Pay Method: CREDIT CARD 013427
Printed:Tuesday,August 13,2019 8:17 AM 1 of 1 p
miuu,