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1071 Atlantic Blvd Keller Williams ELPP22-0005 Elec Int RemodelOWNER:ADDRESS:CITY:STATE:ZIP: 1071 ATLANTIC JAX OWNER LLC 4923 CYPRESS ST W TAMPA FL 33607 COMPANY:ADDRESS:CITY:STATE:ZIP: E. F. LEA ELECTRICAL CONTRACTOR, INC POST OFFICE BOX 3143 JACKSONVILLE FL 32206 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 177411 0040 SECTION LAND JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1071 ATLANTIC BLVD ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS Elec for: INT BUILDOUT,KELLER WILLIAMS $115000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $20.00 ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00 ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 100 $60.00 LIST OF CONDITIONS Roll off container company must be on City approved list . Container cannot be placed on City right-of-way. 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. 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. 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. 1 of 2Issued Date: 1/14/2022 PERMIT NUMBER ELPP22-0005 ISSUED: 1/14/2022 EXPIRES: 7/13/2022 ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS PERMIT CITY OF ATLANTIC BEACH ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $81.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.30 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.20 TOTAL: $225.50 2 of 2Issued Date: 1/14/2022 PERMIT NUMBER ELPP22-0005 ISSUED: 1/14/2022 EXPIRES: 7/13/2022 ELECTRICAL COMMERCIAL OR MULTIFAMILY DETAILS PER BLDG PLANS PERMIT CITY OF ATLANTIC BEACH DESCRIPTION ACCOUNT QTY PAID PermitTRAK $225.50 ELPP22-0005 Address: 1071 ATLANTIC BLVD APN: 177411 0040 $225.50 ELECTRICAL $220.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $20.00 ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00 ELEC LIGHTING OUTLETS, INCLUDING FIXTURES 455-0000-322-1000 100 $60.00 ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $81.00 STATE SURCHARGES $5.50 STATE DBPR SURCHARGE 455-0000-208-0700 0 $3.30 STATE DCA SURCHARGE 455-0000-208-0600 0 $2.20 TOTAL FEES PAID BY RECEIPT: R18513 $225.50 Printed: Friday, January 14, 2022 1:41 PM Date Paid: Friday, January 14, 2022 Paid By: E. F. LEA ELECTRICAL CONTRACTOR, INC Pay Method: CREDIT CARD 574471415 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18513 ELPP22-0005