350 OCEAN ELEC & TEMP & RECEIPT j�=�,y
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL RESIDENTIAL -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: ERES18-0100
Description: 200amps 120/240volts 0 phase
Estimated Value: 12000
Issue Date: 3/29/2018
Expiration Date: 9/25/2018
PROPERTY ADDRESS:
Address: 350 OCEAN BLVD
RE Number: 170177 0000
PROPERTY OWNER:
Name: CELLAR WILLIAM J
Address: 4901 BELFORT RD STE 140
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MUNSON & BRYAN ELECTRICAL CO.
Address: 3434 ST AUGUSTINE RD 3434 ST.AUGUSTINE RD
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
S �f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
�r
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5814
ELECTRICAL TEMP POLE -
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
PERMIT INFORMATION:
PERMIT NO: TEMP18-0014
Description: TEMP POLE 100AMP, 120/240 VOLTS, 0 PHASE
Estimated Value: 250
Issue Date: 3/29/2018
Expiration Date: 9/25/2018
PROPERTY ADDRESS:
Address: 350 OCEAN BLVD
RE Number: 170177 0000
PROPERTY OWNER:
Name: CELLAR WILLIAM J
Address: 4901 BELFORT RD STE 140
JACKSONVILLE, FL 32256
GENERAL CONTRACTOR INFORMATION:
Name:
Address:
Phone:
Name: MUNSON & BRYAN ELECTRICAL CO.
Address: 3434 ST AUGUSTINE RD 3434 ST.AUGUSTINE RD
JACKSONVILLE, FL 32207
Phone:
PERMIT INFORMATION:
Please see attached conditions of approval.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOU 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.
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.
* A notice of Commencement is only required for work exceeding an estimated value of
$2,500. For HVAC work, a Notice of Commencement is only required when HVAC work
exceeds and estimated value of$7,500.
Cash Register Receipt Receipt Number
City of Beach R4637
DESCRIPTION ACCOUNTQTY PAID
PermitTRAK $223.00
ERES18-0100 Address: 350 OCEAN BLVD APN: 170177 0000 $129.00
ELECTRICAL $125.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC NEW SINGLE FAMILY 455-0000-322-1000 200 $70.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TEMP18-0014 Address: 350 OCEAN BLVD APN: 170177 0000 $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 455-0000-208-0600 0 $2.00
STATE DCA SURCHARGE 45500002080700 0 $2.00
TOTALR4637 $223.00
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Date Paid:Thursday, March 29, 2018
Paid By: MUNSON & BRYAN ELECTRICAL CO.
Cashier: BA
Pay Method: CREDIT CARD 5
Printed:Thursday, March 29,2018 2:23 PM 1 of 1 �1
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