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1845 Mayport Rd TEMP22-0002 Temp PoleOWNER:ADDRESS:CITY:STATE:ZIP: SEA SALT PAVILION INC PO BOX 331245 ATLANTIC BEACH FL 32233 COMPANY:ADDRESS:CITY:STATE:ZIP: COASTAL ELECTRIC COMPANY 2759 ST JOHN BLUFF RD JACKSONVILLE FL 32246 TYPE OF CONSTRUCTION: REAL ESTATE NUMBER:ZONING:BUILDING USE GROUP:SUBDIVISION: 172046 0100 SECTION LAND JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK: 1845 MAYPORT RD ELECTRICAL TEMP POLE Private Provider, Temp Pole: 200 Amps $1000.00 FEES DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT ELEC TEMP SERVICE 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 455-0000-208-0600 0 $2.00 TOTAL: $94.00 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: 1/21/2022 PERMIT NUMBER TEMP22-0002 ISSUED: 1/21/2022 EXPIRES: 7/20/2022 ELECTRICAL TEMP POLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 2 of 2Issued Date: 1/21/2022 PERMIT NUMBER TEMP22-0002 ISSUED: 1/21/2022 EXPIRES: 7/20/2022 ELECTRICAL TEMP POLE PERMIT CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 DESCRIPTION ACCOUNT QTY PAID PermitTRAK $94.00 TEMP22-0002 Address: 1845 MAYPORT RD APN: 172046 0100 $94.00 ELECTRICAL $90.00 ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00 ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00 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 FEES PAID BY RECEIPT: R18543 $94.00 Printed: Friday, January 21, 2022 10:24 AM Date Paid: Friday, January 21, 2022 Paid By: COASTAL ELECTRIC COMPANY Pay Method: CREDIT CARD 577150476 1 of 1 Cashier: CG Cash Register Receipt City of Atlantic Beach Receipt Number R18543 TEMP22-00002