511 Ocean Blvd ERES20-0003 6 Fixtures ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
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CITY OF ATLANTIC BEACH ERES20-0003
800 SEMINOLE ROAD ISSUED: 1/6/2020
ATLANTIC BEACH. FL 32233
EXPIRES: 7/4/2020
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE 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:
511 OCEAN BLVD ELECTRICAL RESIDENTIAL ELECTRICAL FOR ADDITION $1000.00
6 FIXTURES
TYPE OF REAL ESTATE ZONING: BUILDING USE SUBDIVISION:
CONSTRUCTION: I NUMBER: GROUP:
170143 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ZIP:
FRANKLIN ELECTRIC JACKSONVILLE
930 10th Street FL 32250
SERVICE BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
GRISWOLD SCOTTJ 511 OCEAN BLVD ATLANTIC BEACH FL 32233-5339
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 11 $6.60
ELECTRICAL BASE FEE 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: $65.60
Issued Date: 1/6/2020 1 of 2
51�\'''%a ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER }
f
so, ,,' `„ ERES20-0003
CITY OF ATLANTIC BEACH
..).4v 800 SEMINOLE ROAD ISSUED: 1/6/2020
��i3 �� ATLANTIC BEACH. FL 32233 EXPIRES: 7/4/2020
Issued Date: 1/6/2020 2 of 2
Electrical Permit Application **ALL INFORMATION
f*. City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 E E-3 Zee- 0°C),-
Phone:
OD`Phone: (904) 247-5826 Email: 3uilding-Dept@coab.uy-_ PERMIT#: RES t t
JOB ADDRESS: 511 Ocean Blvd PROJECT VALUE$$ 1,000.00
2D
JEA INFORMATION REQUIRED ON ALL PERMITS:70(2 AMPS eYOVOLTS 1 PHASE
NEW SERVICE: 0 Overhead DUnderground ❑Underground up Pole
1Residential (Main)Service:
00-100 amps O101-150amps D151-200amps 0 amps #of Meters
❑Commercial(Main)Service:
00-100 amps 0101-150amps 0151-200amps 0 _amps OCT Service amps
Conductor Type Size
1:Multi-Family(Main)Service:
❑0-100 amps 0101-150amps 0151-200amps 0 amps #of Unit Meters
TEMPORARY POLE: amps
I I SERVICE UPGRADE: ❑ amps OCT Service amps
__ NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.):
❑100 amps 0150amps 0200amps 0 amps ❑CT Service amps
✓ ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 6 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: 5 -
OTHER ELECTRICAL PROJECTS:
LjSwimming Pool OSign ❑Smoke Detectors (Qty) ❑Transformers KVA ❑Motors HP
FIRE ALARM SYSTEM (Requires 3 sets of plans):
Qty volts/amps
Li REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can ['Safety Inspection [Panel Change DOH to UG
[Other: Updated 10/17/18
IIIMMEIIIIIIIIII
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: Scott Griswold Phone Number:
Electrical Company: Franklin Electric Inc Office Phone: 629-4925 Fax:
Co. Address: P.O. Box 51237 City: Jax Beach State: FL Zip: 32240
License Holder: Jarrett Franklin e State Certification/Registration#: ER13013898
Notarized Signature of License Holder �- /¢�`-- _ (,
The foregoing instrument was acknowledged before is3 day of t ) W, 0 fJFlorida,i the State of Florida,County of S.)"'30►1
Signature of Notary Publicco• Q._
6clip'
?e`,Na, Notary
Notary Pubhc State d Fbritl3
TaraI Batte(1-Belmudez
a t+ CommissionGG 112881 Personally Known OR[ J Produced Identification
for If
Exprires Ori108/202t pe of Identification:
Cash Re ister Recei t Receipt Number
N g p
City of Atlantic Beach R11423
DESCRIPTION I ACCOUNT I QTY I PAID
PermitTRAK $65.60
ERES20-0003 Address: 511 OCEAN BLVD APN: 170143 0000 $65.60
ELECTRICAL $61.60
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING
455-0000-322-1000 11 $6.60
FIXTURES
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 FEES PAID BY RECEIPT: R11423 $65.60
Date Paid: Monday,January 06, 2020
Paid By: FRANKLIN ELECTRIC SERVICE
Cashier: LE
Pay Method: CREDIT CARD 13
Printed: Monday,January 06,2020 1:38 PM 1 of 1 ti
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