511 Ocean Blvd ERES20-0017 panel change permit ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
' CITY OF ATLANTIC BEACH ERES20-0017
v~ 800 SEMINOLE ROAD ISSUED: 1/29/2020
ATLANTIC BEACH, FL 32233 EXPIRES: 7/27/2020
MUST CALL INSPECTIONi • 1 ,) 247-5814 BY , PM FOR • INSPECTION.
ALL • ' CONFORM • THE CURRENT 6TH EDITION1 OF • ' + BUILDING
CODE, AND OF ATLANTIC + CH 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.
J• : rr ■ • • OF • •
511 OCEAN BLVD ELECTRICAL RESIDENTIAL PANEL CHANGE $1000.00
TYPE OF REALESTATE BUILDING
ZONING: : r •
• • GROUP:
170143 0000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY:-- STATE: ZIP:-
FRANKLIN ELECTRIC 930 10th Street JACKSONVILLE FL 32250
SERVICE BEACH
ADDRESS:
■��
GRISWOLD SCOTT J 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 REPAIRS AND MISC 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 45S-0000-208-0600 0 $2.00
TOTAL:$94.00
Issued Date: 1/29/2020 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
i' ERES20-0017
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD ISSUED: 1/29/2020
ATLANTIC BEACH. FL 32233 EXPIRES: 7/27/2020
Issued Date: 1/29/2020 2 of 2
Electrical Permit Application "ALL INFORMATION
City of Atlantic Beach Building DepartmentGRAY IS REQUIRED.HIGHLIGHTED IN
800 Seminole Rd, Atlantic Beach, FL 32233 F—F&,sz
Phone: (904) 247-5826 Email: Building-Dept coati us 0 -00 I
PERMIT#:
JOB ADDRESS: 511 Ocean Blvd PROJECT VALUE$$ 1,000.00
JEA INFORMATION REQUIRED ON ALL PERMITS: 13T AMPS AJ VOLTS ( PHASE
❑NEW SERVICE: ❑Overhead ❑Underground []Underground up Pole
[]Residential (Main)Service:
00-100 amps 0101-150amps 0151-200amps Q_amps #of Meters
❑Commercial(Main)Service:
110-100 amps 0101-150amps 11151-200amps ❑ amps
Conductor Type Size ❑CT Service amps
OMulti-Family(Main)Service:
1D-100 amps 0101-150amps 0151-200amps ❑ amps #of Unit Meters
❑TEMPORARY POLE: amps
❑SERVICE UPGRADE: ❑ amps [--)CT Service amps
❑ NEW FEEDER (ADDITIONS,ACCESSORY STRUCTURES, ETC.):
[3100amps ❑150amps ❑200amps []_amps ❑CT Service amps
❑ADDITIONS, REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps 31-100amps 101-200amps
Appliances: 0-30amps 31-100amp5 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
❑✓ REPAIRS/MISCELLANEOUS:
❑Replace Burnt/Damaged Meter Can []Safety Inspection panel Change []OH to UG
❑Dther: Updated 10/17/18
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: Scott Griswald Phone Number:
Electrical Company: Franklin Electric Inc Office Phone: 629.4925 Fax:
Co.Address: P.O. Box 51237 City: Jax Beach State: FIL Zip: 32240
License Holder: Jarrett Franklin State Certification/Registration#: ER13013898
Notarized Signature of License Holder
The foregoing instrument was acknowledged before me thisoo} day of :Y31,2 2029 In the State of Florida,County of
0a • Notary Public State of Florida Signature of Notary PubrCc
+ Tara L Battell-Belmudez
e` My Commission GG 112881 Personal) Known
,OF Expire&0608/2021 Y OR f I Produced Identification
T e of Identification:
Receipt Number
Cash Register Receipt
City of Atlantic Beach R11588
DESCRIPTIONTV
• QTY PAI D
PermitTRAK $94.00
ERES20-0017 Address: 511 OCEAN BLVD APN: 170143 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
TOTALBY $94.00
Date Paid: Wednesday, January 29, 2020
Paid By: FRANKLIN ELECTRIC SERVICE
Cashier: CT
Pay Method: CREDIT CARD 12
Printed:Wednesday,January 29, 2020 2:59 PM 1 of 1