770 Amberjack Ln ERES23-0210 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
SELF LEWIE F 770 AMBERJACK LN ATLANTIC BEACH FL 32233-4205
COMPANY:ADDRESS:CITY:STATE:ZIP:
PANCHO MG ELECTRICAL
SERVICES LLC -AGENT BENJAMIN EDWARD SMITH JACKSONVILLE FL 32246
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
171131 0000 ROYAL PALMS UNIT 01
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
770 AMBERJACK LN ELECTRICAL RESIDENTIAL
New feeder 200 amps,
replace meter can, electrical
remodel
$4000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC AIR CONDITIONING CIRCUITS 455-0000-322-1000 0 $5.00
ELEC APPLIANCES FIXED OR STATIONERY 455-0000-322-1000 0 $4.00
ELEC HEAT 455-0000-322-1000 0 $2.00
ELEC REPAIRS AND MISC 455-0000-322-1000 0 $35.00
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: 9/15/2023
PERMIT NUMBER
ERES23-0210
ISSUED: 9/15/2023
EXPIRES: 3/13/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
ELEC SWITCH AND RECEPTACLE OUTLETS 455-0000-322-1000 0 $36.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.06
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
TOTAL: $141.06
2 of 2Issued Date: 9/15/2023
PERMIT NUMBER
ERES23-0210
ISSUED: 9/15/2023
EXPIRES: 3/13/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233