343 19th St ERES24-0030 COAB Permit Form with ConditionsOWNER:ADDRESS:CITY:STATE:ZIP:
OZIMKOVSKI YEVENIY 343 19TH ST ATLANTIC BEACH FL 32233
COMPANY:ADDRESS:CITY:STATE:ZIP:
Sasser Electrical Services
Inc 11690 Halcyon Loop (mailing addr.)Dahpne AL 36526
TYPE OF
CONSTRUCTION:
REAL ESTATE
NUMBER:ZONING:BUILDING USE
GROUP:SUBDIVISION:
172020 1244 SELVA MARINA UNIT
12A
JOB ADDRESS:PERMIT TYPE:DESCRIPTION: VALUE OF WORK:
343 19TH ST ELECTRICAL RESIDENTIAL ELECTRIC FOR POOL $1000.00
FEES
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: $99.00
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: 1/30/2024
PERMIT NUMBER
ERES24-0030
ISSUED: 1/30/2024
EXPIRES: 7/28/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
2 of 2Issued Date: 1/30/2024
PERMIT NUMBER
ERES24-0030
ISSUED: 1/30/2024
EXPIRES: 7/28/2024
ELECTRICAL RESIDENTIAL PERMIT
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
DESCRIPTION ACCOUNT QTY PAID
PermitTRAK $99.00
ERES24-0030 Address: 343 19TH ST APN: 172020 1244 $99.00
ELECTRICAL $95.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC SWIMMING POOLS 455-0000-322-1000 0 $40.00
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: R26130 $99.00
Printed: Tuesday, January 30, 2024 4:49 PM
Date Paid: Tuesday, January 30, 2024
Paid By: Sasser Electrical Services Inc
Pay Method: CREDIT CARD 10135459771
1 of 1
Cashier: TG
Cash Register Receipt
City of Atlantic Beach
Receipt Number
R26130
ERES24-0030