780 Sabalo ERES18-0347 Receipt Number
Cash Register Receipt
;�m City of Atlantic Beach R7094
DESCRIPTION ACCOUNT CITY PAID
PermItTRAK $77.00
ERESIS-0347 Address: 780 SABALO DR APN: 171482 0000 $77.00
ELECTR CAL $73.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
ELEC LIGHTING OUTLETS,INCLUDING 455-GO(O-322-1000 is $9.00
FID(TURES
ELEC SWITCH AND RECEPTACLE OUTLETS 455-ODDD 322-1000 0 $9.00
STATE SURCHARGES $4.00
STATE OSPR SURCHARGE 4SS-0000-208-0700 0 $2.00
STATE DCA SURCHARGE
TOTAL FEES PAID BY RECEIPT: R7094 $77.00
Date Paid:Thursday,October 18, 2018
Paid By: DESTINY ELECTRIC
Cashier: BA
Pay Method: CREDIT CARD 2
Printed:Thursday,October 18,2018 9:15 AM i of i
ELECTRICAL RESIDENTIAL PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH ERES18-0347
800 SEMINOLE ROAD ISSUED: 10/18/2018
ATLANTIC BEACH. FL 32233 EXPIRES:4/16/2019
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY*
NOTICE: In addition to the requirements of this permit,there may be additio I
nal restrictions appi
that may be found in the public records of this county,and there may be additional permits requ
governmental entities such aswater management districts,state agencies,orfederal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
780 SABALO DR ELECTRICAL RESIDENTIAL 200 Amp 240 Volt Single $2500.00
Phase
TYPE OF REALIESTATE ZONING: BUILDING USE
SUBDIVISION:
CONSTRUCTION: NUMBER: GROUP:
ROYAL PALMS UNIT
1714820000 02A3.00
COMPANY: ADDRESS: CITY: STATE: ZIP:
DESTINY ELECTRIC 2850 CIRCLE RIDGE RD ORANGEPARK FL 32065
OWNER: ADDRESS: CITY: STATE: ZIP:
GLOVER MARY S 780 SABALO DR ATLANTIC BEACH Fl- 32233-3944
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
AT-FORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list. Container cannot be placed on City right-of-way.
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC LIGHTING OUTLETS,INCLUDING FIXTURES 455 WOO 322 1000 $9.00
FLEC SWITCH AND RECEPTACLE OUTLETS 455 WOO 322 1000 0 SSW
ELECTRICAL BASE FEE 455 ODDO-322-1000 0 $55,00
STATE DBPR SURCHARGE 455-DOW 208 0700 0 $200
STATE DCA SURCHARGE 455-00W)208 06M 0 $2.00
Issued Date: 10/18/2018 1 of 2
ELECTRICAL RESIDENTIAL PERMIT PERMITNUMBER
CITY OF ATLANTIC BEACH ERES18-0347
800 SEMINOLE ROAD ISSUED: 10/18/2018
ATLANTIC BEACH, Fl.32233 EXPIRES:4/16/2019
LIssued Date: 10/18/2018 2 of 2
FI.FCrRICAL PERMff APPLICATior,4
OTV OF A-nAnic BEAcFj
800 Saninole Rd, Adamic Rcwk FL 32233
Ph(cAU)247-5826 Favc(904)247-5845
JOHADwEss: 190 SABALD INC A'M.Zrfl.,,rL.3ZZn #(%PSIS
JFA INFORMATION "ULRFD ON ALL PERNITTS �X--AMPS P10 VOLTS PH,%SE
VALUE OF WORKS Z, IAW- 0
NFW SERVICE El Overluuad OlJnderl�ud 0Tlnde,jrovnd .pPoic
-Residentiad(Main)Scr�vim
(�100 amps 101-150amps -:151-200amps
-ccummercial(M.i.) ------4mp$ 11 of Meters,
0-INIMP, -101-15(himps 151-200=ps ps --(.-T se�ice
Conduaw Type Six —=P3
0-INIMPS 2101-ISOMPS 151-200torps ps of Unit Metcr%.
-Tmpomry Pate
SERVICE UPCRADF. �w amps CT$,nim amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURE&ETC.)
L,100 Mr. 150amps --200-p. ___;,mpg XrScr�icc_arnp,
ADDMONS, REMODELS. REPAIRS,g[Jil,"Ln-.iA(:CESSORYSMIlCrURMVM
Oullcls,%%itchcs: 0-30,,ps 31-Ifflamps 101-200=ps
Applim=: -0-30=px _31-loomps 101-200=ps
A/CCirruil, 0-60=ps 61-100turps
Ifew Circuns: 0 circuits 0
Number or Lighting Outlets.
NcludmgFixturvc 157
OTHER FLECYRIC&L PROJECTS
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